Fritsch E, Siebel T, Heisel J, Hesselschwerdt H J
Orthopädische Klinik und Poliklinik, Universität des Saarlandes, Homburg/Saar.
Fortschr Med. 1995 Dec 10;113(34):487-9.
A total of 156 synovectomies were performed to treat recurrent swelling of the knee joints in 148 patients with rheumatic diseases. The late results observed in 112 patients (72%) re-examined after an average follow-up period of 6.2 years are discussed. The subjective and objective findings in patients undergoing early surgery proved to be superior to those seen after late synovectomy. Also in comparison with a group of patients submitted to synoviorthosis, surgical synovectomy, in particular when carried out at an early stage, showed more favorable results. For this reason, should conservative treatment fail, and recurrent swelling of the knee joints persist, early surgical intervention ist recommended.
共对148例风湿性疾病患者的膝关节反复肿胀进行了156次滑膜切除术。讨论了对112例患者（72%）在平均随访6.2年后复查的晚期结果。早期手术患者的主观和客观结果证明优于晚期滑膜切除术后的结果。与一组接受滑膜固定术的患者相比，手术滑膜切除术，尤其是早期进行时，显示出更有利的结果。因此，如果保守治疗失败，膝关节反复肿胀持续存在，建议早期手术干预。
