Villiger P M
Rheumatologie, Kantonsspital St. Gallen.
Ther Umsch. 1996 Oct;53(10):752-7.
The differential diagnosis of gonarthritis is widespread due to the fact that the knee participates in diseases ranging from infections to autoimmunopathies and metabolic disorders. The analysis of the synovial fluid provides important information and has to be performed without delay, if septic arthritis is suspected. Characteristics, symptoms and signs of underlying diseases help in the diagnostic work-up. Whereas radiologic examination is primarily done to document the evolution of the process, ultrasonography may add substantial morphological information. Therapy is based on drug treatment and physical measures. The primary goals of physiotherapy are analgesia and rehabilitation.
由于膝关节会受到从感染到自身免疫性疾病以及代谢紊乱等多种疾病的影响,膝关节炎的鉴别诊断范围很广。如果怀疑是化脓性关节炎,对滑液的分析会提供重要信息,必须立即进行。潜在疾病的特征、症状和体征有助于诊断检查。放射学检查主要用于记录病情发展过程,而超声检查可能会提供大量形态学信息。治疗基于药物治疗和物理措施。物理治疗的主要目标是镇痛和康复。