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膝关节滑膜结核的关节镜下滑膜切除术

Arthroscopic synovectomy of synovial tuberculosis of the knee joint.

作者信息

Motycka T, Landsiedl F

机构信息

Department of the Orthopaedic Hospital Speising, Vienna, Austria.

出版信息

Knee Surg Sports Traumatol Arthrosc. 1995;3(2):111-2. doi: 10.1007/BF01552385.

Abstract

Synovial tuberculosis is a rare, but important differential diagnosis of synovial diseases. Three cases of arthroscopic synovectomy of tubercular monarthritis affecting the knee joint are reported. The Lysholm scoring scale modified by Klein and Kloos was excellent in two cases, but poor in one. In all three cases there was an excellent improvement in the range of motion compared to the preoperative period and no deterioration of the Larsen score in the follow-up period (25-56 months postoperatively). Considering these results arthroscopic synovectomy can be recommended as an alternative to the open procedure of synovectomy.

摘要

滑膜结核是一种罕见但重要的滑膜疾病鉴别诊断。本文报告了3例膝关节结核性单关节炎的关节镜下滑膜切除术病例。经Klein和Kloos改良的Lysholm评分量表,2例结果为优,1例为差。与术前相比,所有3例患者的活动范围均有显著改善,随访期间(术后25 - 56个月)Larsen评分没有恶化。鉴于这些结果,关节镜下滑膜切除术可作为开放性滑膜切除术的替代方法推荐使用。

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