Szachnowski P, Wei N, Arnold W J, Cohen L M
Department of Medicine, University of Wisconsin School of Medicine, Madison, USA.
J Rheumatol. 1995 Sep;22(9):1722-5.
To analyze the complication rates associated with office based arthroscopy in 2 community based rheumatology practices.
A retrospective analysis of 335 office based arthroscopy performed on 306 patients over a 35 mo period. All patients met specific clinical criteria to qualify for office based arthroscopy. Patients were followed postarthroscopy for a minimum of 12 weeks to assess the rates and types of complications.
Of the 335 office based arthroscopies, 131 were diagnostic only, while 204 procedures were diagnostic and therapeutic. A total of 280 interventions were performed. Both major and minor complications were seen. The complication rates for major and minor events were 1.2 and 12.8%, respectively. There was no mortality or longterm morbidity.
Office based arthroscopy in patients with rheumatic diseases has a safety profile that compares favorably with arthroscopy performed in an ambulatory surgical center or operating room setting.
分析在两家社区风湿病诊所进行的门诊关节镜检查的并发症发生率。
对在35个月期间对306例患者进行的335例门诊关节镜检查进行回顾性分析。所有患者均符合门诊关节镜检查的特定临床标准。关节镜检查后对患者进行至少12周的随访，以评估并发症的发生率和类型。
在335例门诊关节镜检查中，131例仅为诊断性检查，而204例检查为诊断性和治疗性。共进行了280次干预。观察到了主要和次要并发症。主要和次要事件的并发症发生率分别为1.2%和12.8%。无死亡或长期发病情况。
风湿病患者的门诊关节镜检查的安全性与在门诊手术中心或手术室进行的关节镜检查相比具有优势。
