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放射性滑膜切除术

Radiochemical synovectomy.

作者信息

Sholter D, Davis P

出版信息

Scand J Rheumatol. 1997;26(5):337-41. doi: 10.3109/03009749709065694.

DOI:10.3109/03009749709065694
PMID:9385342
Abstract

Radiochemical synovectomies have been used for nearly fifty years for the treatment of persistent monoarticular synovitis refractory to antiinflammatory drugs, disease modifying drugs, and intraarticular corticosteroids. It is a therapeutic alternative to surgical synovectomy. There are controversies concerning safety, choice of appropriate agent, and logistics of administration. These concerns are discussed in addition to reviewing some of the more recent trials examining the efficacy of radiochemical synovectomy. It is clear that in properly selected patients this procedure is safe and beneficial.

摘要

放射性滑膜切除术已用于治疗对抗炎药物、病情改善药物及关节内注射皮质类固醇均无效的持续性单关节滑膜炎近五十年。它是外科滑膜切除术的一种治疗替代方法。关于安全性、合适药物的选择及给药流程存在争议。除了回顾一些检验放射性滑膜切除术疗效的近期试验外,还将讨论这些问题。显然,对于经过恰当选择的患者,该手术是安全且有益的。

相似文献

1
Radiochemical synovectomy.放射性滑膜切除术
Scand J Rheumatol. 1997;26(5):337-41. doi: 10.3109/03009749709065694.
2
[Effect of radiation synovectomy using Yttrium 90Y on synovial fluid rheumatoid factor activity in progressive polyarthritis with chronic synovitis of the knee joint].[钇90Y放射性滑膜切除术对膝关节慢性滑膜炎的进行性多关节炎患者滑液类风湿因子活性的影响]
Fysiatr Revmatol Vestn. 1975 Apr;53(2):80-4.
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Radio-synovectomy in chronic synovitis of the knee joint in patients with rheumatoid arthritis.类风湿关节炎患者膝关节慢性滑膜炎的放射性滑膜切除术
Eur J Nucl Med. 1985;10(9-10):446-9. doi: 10.1007/BF00256588.
4
Cutaneous radiation necrosis as a complication of yttrium-90 synovectomy.皮肤放射性坏死作为钇-90滑膜切除术的一种并发症。
Hell J Nucl Med. 2005 Jan-Apr;8(1):58-9.
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Yttrium synovectomy: a meta-analysis of the literature.
Aust N Z J Med. 1993 Jun;23(3):272-5. doi: 10.1111/j.1445-5994.1993.tb01731.x.
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A controlled study of the effect of radiation synovectomy of the knee joint in rheumatoid arthritis.类风湿性关节炎膝关节放射性滑膜切除术效果的对照研究。
Reumatologia. 1982;20(3-4):183-7.
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[Radiation synovectomy with yttrium 90 and rhenium 186 in rheumatoid arthritis, long term follow-up and effects on synovial membrane].[类风湿关节炎中钇90和铼186放射性滑膜切除术的长期随访及对滑膜的影响]
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10
Yttrium radiosynoviorthesis in the treatment of knee arthritis in rheumatoid arthritis: a systematic review.钇放射性滑膜切除术治疗类风湿关节炎膝关节关节炎:一项系统评价
Ann Rheum Dis. 2000 Aug;59(8):583-6. doi: 10.1136/ard.59.8.583.

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