摘要
目的探讨关节镜在膝关节滑膜结核及早期全关节结核诊断和治疗中的作用。方法对2002年6月～2004年12月我科收治的23例膝关节结核患者进行回顾性分析。结果23例患者中术前确诊8例，术中确诊18例，术后病理确诊20例，3例患者病理报告慢性滑膜炎，最后临床证实为结核。平均随访29．3个月，所有患者膝关节症状基本消失，功能良好，Lysholm评分平均得分为92．2分，疗效满意。结论关节镜是膝关节结核早期诊断和治疗的理想方法。
Objective To evaluate the role of arthroscopy in diagnosis and treatment in tuberculosis of knee joint. Methods Twenty-three patients with swelling and pain knee,who underwent arthroscopy and diagnosed as tuberculosis by arthroscopic findings and synovial biopsies and curative effect from June 2002 to December 2004,were reviewed. Results Eight of 23 patients were diagnosed on the basis of clinical manifestations and laboratory results before operation, 18 cases were diagnosed by arthroscopy and 20 cases were diagnosed by pathology. With average 29.3 months follow up, the results of the treatment were satisfactory. All patient sp symptoms were disappeared and had good functions, the average Lysholm score was 92.2. Conclusion Arthroscopy is a ideal method in the diagnosis and treatment in tuberculosis of knee joint.
出处
《重庆医学》
CAS
CSCD
2006年第13期1161-1162,共2页
Chongqing medicine
关键词
膝
结核
关节镜
诊断
治疗
knee
tuberculosis
arthroscopy
diagnosis
treatment
