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骨软骨病病变的诊断性和手术性关节镜检查

Diagnostic and surgical arthroscopy in osteochondrosis lesions.

作者信息

van Bree H J, Van Ryssen B

机构信息

Department of Medical Imaging, Faculty of Veterinary Medicine, University of Ghent, Merelbeke, Belgium.

出版信息

Vet Clin North Am Small Anim Pract. 1998 Jan;28(1):161-89. doi: 10.1016/s0195-5616(98)50010-1.

Abstract

In the dog, as in man and the horse, arthroscopy has an important role in treatment of joint disease. In the shoulder, elbow, and stifle joints, surgical arthroscopy can and should replace the classical surgical methods of treating osteochondrosis lesions. In elbow and tarsocrural joint disorders, the diagnostic potentials of arthroscopy are evident. With the established techniques, not only can the lesions be diagnosed with accuracy, but they can also be treated within the same procedure, making arthroscopy the treatment of choice to deal with osteochondrosis lesions. Without a doubt, arthroscopy will play an important role in the understanding of the etiopathology of different joint diseases, especially within the elbow joint, where so many questions remain unresolved. The advantages of arthroscopy in the diagnosis and treatment of osteochondrosis have also encouraged other veterinary surgeons to adopt the technique. In the developmental stage of arthroscopy in the dog, a frequently expressed comment was that arthrotomy was as valuable and as easy (or easier) to perform as arthroscopy. Now that the advantages of arthroscopy have been demonstrated, the skepticism has changed into enthusiasm. The same evolution is noted with arthroscopy in both man and the horse.

摘要

在犬类中,如同在人类和马匹中一样,关节镜检查在关节疾病的治疗中发挥着重要作用。在肩部、肘部和膝关节,手术关节镜检查能够且应该取代治疗骨软骨病病变的传统手术方法。在肘部和跗关节疾病中,关节镜检查的诊断潜力是显而易见的。凭借既定的技术,不仅能够准确诊断病变,还能在同一手术过程中进行治疗,这使得关节镜检查成为处理骨软骨病病变的首选治疗方法。毫无疑问,关节镜检查将在理解不同关节疾病的病因病理学方面发挥重要作用,尤其是在肘关节,目前仍有许多问题尚未解决。关节镜检查在骨软骨病诊断和治疗方面的优势也促使其他兽医采用这项技术。在犬类关节镜检查的发展阶段,经常有人评论说关节切开术与关节镜检查一样有价值,而且实施起来同样容易(甚至更容易)。既然关节镜检查的优势已经得到证明,怀疑态度已转变为热情。在人类和马匹的关节镜检查中也观察到了同样的发展过程。

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