关节镜下病灶清除治疗膝关节结核性滑膜炎

目的探讨关节镜下病灶清除治疗膝关节结核性滑膜炎的疗效。方法 89例膝关节结核性滑膜炎患者,采用关节镜活检和病变清除,通过12～36个月的随访,观察治疗效果。结果 89例随访患者,术前Lysholm膝关节功能评分为（48.2±3.2）分,术后随访Lysholm膝关节功能评分为（92.0±3.7）分,术前JOA膝关节功能评分为（43.4±3.6）分,术后随访JOA膝关节功能评分为（89.3±1.6）分。结论关节镜下病灶清除术治疗膝关节结核性滑膜炎是一种有效的治疗方法。

Analysis on arthroscopic synovectomy in treatment of tuberculous synovitis of knee joint

Objective To evaluate the therapeutic effect of arthroscopic synovectomy in the treatment of tuberculous synovitis of the knee joint.Methods A total of 89 cases of tuberculous synovitis of the knee joint were treated by arthroscopic synovectomy.All patients were followed up for 12～36 months and the therapeutic effects were evaluated.Results In the 89 cases,the scores were（48.2±3.2） before the surgery and（92.0±3.7） after the surgery according to the Lysholm criteria;the scores were（43.4±3.6） before the surgery and（89.3±1.6） after the surgery according to the JOA criteria.Conclusion Arthroscopical synovectomy is an effective treatment for tuberculous synovitis of the knee.