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目的:探讨关节镜滑膜大部分切除治疗早期类风湿性关节炎(rheumatoid arthritis,RA)长期临床疗效。方法:1998年9月至2006年5月,对19例膝关节滑膜炎患者行关节镜下滑膜大部分切除术,随访3-11年,平均随访6.5年,手术前后按Ishikawa标准评分评定膝关节功能。结果:术后3周:优良率为89.5%;术后半年:优良率为79.0%;术后6.3年:优良率为42.1%。结论:关节镜下滑膜大部分切除治疗膝关节RA,近期疗效满意,远期疗效较差。关节镜下滑膜全部切除是提高手术疗效的关键。
Objective: To investigate the long-term clinical efficacy of arthroscopy synovial resection in the treatment of early rheumatoid arthritis (RA). Methods: From September 1998 to May 2006, 19 cases of knee joint synovitis underwent arthroscopic synovial resection. The patients were followed up for 3 to 11 years with a mean follow-up of 6.5 years. According to the Ishikawa criteria score Joint function. Results: Three weeks after operation, the rate of excellent and good was 89.5%. Six months after operation, the excellent and good rate was 79.0%. The excellent and good rate was 42.1% after 6.3 years. Conclusion: Arthroscopic synovial resection of the knee most of the treatment of knee RA, the recent satisfactory results, the long-term curative effect is poor. Arthroscopic synovial resection is the key to improve the efficacy of surgery.