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腕关节结核比较常见,在上肢三大关节中占第—位,病人多为青壮年,对其治疗的后果直接影响患者的生活质量.我院自1986年至1996年12月共收治成关节结核158例,均通过手术治疗,经平均16个月随访.优良率达93.7%.通过总结我们体会:①腕关节有其独特的解剖结构,腕关节结核中,单纯滑膜结核和单纯骨结核较少见,而多为全关节结核.②早期诊断及早期治疗对于腕关节结核的预后有着直接的影响.③治疗方面以足量和联合化疗,彻底的病灶清除术,术后适当的固定,增强体质是预防关节结核算发的关键.
Wrist tuberculosis is more common in the upper third of the three joints in the first - bit, mostly young adults, the consequences of their treatment directly affects the quality of life of patients. Our hospital from 1986 to December 1996 were treated into 158 cases of joint tuberculosis, were treated by surgery, an average of 16 months follow-up. Excellent rate of 93.7%. By summarizing our experience: ① wrist has its unique anatomical structure, wrist joint tuberculosis, simple synovial tuberculosis and simple bone tuberculosis is rare, but mostly all-joint tuberculosis. ② early diagnosis and early treatment of wrist tuberculosis prognosis has a direct impact. The treatment of adequate and combined chemotherapy, complete debridement, postoperative proper fixation, physical fitness is to prevent the key to the development of joint tuberculosis.