摘要
目的探讨不同时期膝关节结核关节镜下诊断价值及关节镜治疗疗效。方法对2004年1月至2009年1月收治的44例患者,术前正规抗结核治疗3-4周,行关节镜检查及治疗。术后异烟肼、硫酸阿米卡星生理盐水交替冲洗48h至1周,滑膜结核术后未行制动,骨结核患者术后制动3周,全关节结核患者术后制动3个月,抗结核治疗18个月。结果 44例患者随访3-72个月,术后无1例复发,均取得满意疗效。结论关节镜对各期膝关节结核诊治有重要价值,关节镜手术配合药物治疗以及合理围手术期处理可使膝关节结核可获得较高治愈率。
Objective To investigate the clinical value and efficacy of arthroscope in the diagnosis and treatment of knee joint tuberculosis at different stages. Methods 44 patients with knee joint tuberculosis admitted from January 2004 to January 2009 underwent arthroscopic examination and treatment after taking regular preoperative anti- tuberculosis （anti-TB） medication for 3-4 weeks. Postoperatively, isoniazide and amikacin sulphate saline were used in turn to flush the affected knees for 48 hours to 1 week. Patients with synovial tuberculosis conducted no postoperative immobilization, while patients with bone tuberculosis underwent motion restriction for 3 weeks and patients with total joint tuberculosis for 3 months after surgery. All the patients were given anti-TB medication therapy for 18 months. Results 44 patients were followed up for 3-72 months. No postoperative recurrence occurred. Satisfactory results were achieved in all the patients. Conclusions Arthroscopic therapy has a great value in the diagnosis and treatment of knee joint tuberculosis at different stages. Combined with medication and appropriate perioperative management, arthroscopic surgery can achieve a relatively higher cure rate for knee joint tuberculosis.
出处
《中国骨肿瘤骨病》
2011年第2期136-139,共4页
Chinse Journal Of Bone Tumor And Bone Disease
关键词
膝关节
结核
关节镜
诊断
治疗
Knee joint
Tuberculosis
Arthroscope
Diagnosis
Treatment
