Menkes C J, Simon F, Broutart J P, Delbarre F
Pathol Biol (Paris). 1975 Dec;23 suppl:28-32.
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.
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。