目的探讨关节镜对痛风性膝关节炎的诊断价值和近期疗效。方法对37例痛风性膝关节炎患者作膝关节镜检查观察其镜下表现,多点取病变组织做病理检查,将水肿增厚的滑膜和尿酸盐结晶尽可能清除,彻底冲洗。术后观察手术疗效,常规服用治疗痛风的药物。结果术前16例误诊为其他关节炎者术中确诊为痛风性关节炎,21例术前拟诊痛风性关节炎术中得到进一步的证实。31例均获随访,时间2～36个月,膝关节肿胀、疼痛明显减轻,功能改善明显,Lysholm评分由术前53分到末次随访时提高到90分,疗效评定:优15例,良22例。结论关节镜手术能较直观诊断痛风性关节炎,近期疗效满意。 Objective To investigate the diagnostic value and short-term curative effect of arthroscopy on gouty knee arthritis. Methods Thirty-seven patients with gouty knee arthritis were examined under arthroscopy for microscopic examination. Pathological examinations were performed on the lesion tissues. The edematous synovium and urate crystals were removed as much as possible and thoroughly rinsed. After surgery to observe the efficacy of conventional treatment of gout drugs. Results 16 cases were misdiagnosed as other arthritis and 16 cases were diagnosed as gouty arthritis. 21 cases were confirmed by preoperative gout arthritis. 31 cases were followed up for 2 to 36 months, the knee joint swelling, pain relief significantly improved the function significantly, Lysholm score from the preoperative 53 points to the last follow-up increased to 90 points, the curative effect evaluation: excellent in 15 cases, good 22 example. Conclusion Arthroscopic surgery can be more intuitive diagnosis of gouty arthritis, the recent satisfactory results.