Edström B, Lugnegård H, Syk B
Scand J Rheumatol. 1976;5(3):184-90. doi: 10.3109/03009747609165460.
PIP joints, MCP joints and wrists of 80 patients with rheumatoid arthritis were operated on with late synovectomy. The rate of recurrence of local synovitis was about 5%, which contrasted favourably with a considerably higher rate of progression of bony erosions. The loss of range of movement was small to moderate. Pain was alleviated in most cases. The possibility of forecasting the results by preoperative parameters was limited. It was concluded that the main indication for late synovectomy of the hand was alleviation of pain. The prophylactic effect on joint destruction seemed to be both slight and unpredictable.
对80例类风湿性关节炎患者的近端指间关节、掌指关节和腕关节进行了晚期滑膜切除术。局部滑膜炎的复发率约为5%，与骨侵蚀的高得多的进展率相比，情况较好。活动范围的丧失为轻度至中度。大多数病例的疼痛得到缓解。通过术前参数预测结果的可能性有限。得出的结论是，手部晚期滑膜切除术的主要指征是缓解疼痛。对关节破坏的预防作用似乎轻微且不可预测。
