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[药物性滑膜切除术治疗血友病性关节病]

[Treatment of hemophilic arthropathies by medical synoviorthesis].

作者信息

Menkes C J, Simon F, Broutart J P, Delbarre F

出版信息

Pathol Biol (Paris). 1975 Dec;23 suppl:28-32.

PMID:772557
Abstract

The effects of medical synoviorthesis were studied by the authors in the haemophiliac. The use of radioisotopes was limited in view of the young age of the patients but a good result was achieved for the 5 elbows treated and for the 4 knees (yttrium 90) the results were 2 good, 1 fair and 1 failure. Osmic acid was injected in 44 knees. The results were good and fair in 51% of 39 knees. The results can be improved by a second injection. Synoviorthesis should be kept for joints with very few destructions because of the danger of worsening the osteocartilaginous lesions, specially with osmic acid.

摘要

作者研究了医学滑膜切除术对血友病患者的影响。鉴于患者年龄较小,放射性同位素的使用受到限制,但对治疗的5个肘部取得了良好效果,对于4个膝盖(钇90),结果为2个良好、1个尚可和1个失败。在44个膝盖中注射了锇酸。39个膝盖中有51%的结果为良好和尚可。第二次注射可改善结果。由于存在使骨软骨病变恶化的风险,特别是使用锇酸时,滑膜切除术应仅用于破坏非常少的关节。

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