论文部分内容阅读
本文报告了自1975年7月至1984年6月间的21例原发痛风性关节炎病例。其中男性19例,女性2例。年龄由18至65岁。患病位置:蹠趾关节16例(76％),跗间关节5例,掌指关节3例,鹰嘴后滑囊3例,跟骨(或跟腱)3例,髌前滑囊1例。可触及痛风石者5例(23％)。高尿酸血症21例(100％)。x线检查现有骨质破坏者8例(37％)。本组病例中5例采用手术治疗(痛风石刮除术4例,肾盂切开取石术1例),其余病例采用药物治疗。 1981年7月至1982年2月间。我们对海南成人血清尿酸含量作了初步的调查,受检者为635名没有痛风症状的成年人。调查发现血清尿酸含量>6mg％的有98人(即高尿酸血症的发生率为15.4％)。本文对原发性痛风性关节炎的病理、临床表现、诊断要点以及内科疗法作了简要的叙述,而着重于讨论与外科治疗的有关问题及慢性痛风性关节炎手术治疗的适应症。
This article reports 21 cases of primary gout arthritis from July 1975 to June 1984. 19 males and 2 females. Ages from 18 to 65 years. Sick position: metatarsophalangeal joint in 16 cases (76%), interphalangeal joint in 5 cases, metacarpophalangeal joint in 3 cases, 3 cases of olecranon bursa, 3 cases of calcaneus (or Achilles tendon), 1 case of anterior patellar bursa . 5 cases were palpable tophi (23%). Hyperuricemia in 21 cases (100%). X-ray examination of existing bone destruction in 8 cases (37%). Five cases in this group were treated by surgery (four cases of tophi stone curettage and one case of pyelolithotomy). The remaining cases were treated with drugs. July 1981 to February 1982. We conducted a preliminary survey of serum uric acid levels in Hainan adults, subjects were 635 adults without gout symptoms. Survey found that serum uric acid levels> 6mg% 98 (ie, the incidence of hyperuricemia was 15.4%). This article briefly describes the pathology, clinical manifestations, diagnosis points and medical treatment of primary gouty arthritis, and focuses on discussing the issues related to surgical treatment and the indications of surgical treatment of chronic gouty arthritis.