关节镜清理术治疗急性痛风性踝关节炎疗效的临床观察

目的 :评估关节镜治疗急性痛风性关节炎的疗效。方法 :2010年1月至2012年6月关节镜辅助下治疗急性痛风性踝关节炎41例,全部为男性,平均年龄43岁(28~69岁);左踝18例,右踝23例;首次发作12例,反复发作29例;病程2周~30个月。结果:所有患者获得随访,随访至少12个月。采用美国足踝外科协会(AOFAS)踝-后足评分系统,术前58.44±9.45,术后6、12个月和末次随访时分别为86.15±7.36,83.41±9.22,84.10±8.22,术后评分升高。术后踝关节肿胀、疼痛显著改善。结论:关节镜检查有助于痛风性踝关节炎的诊断、改善临床症状和踝关节功能。

Clinical observation of arthroscopic debridement for acute gouty arthritis of the ankle

Objective:To evaluate the effects of arthroscopic debridement for acute gouty arthritis of the ankle. Methods:Forty-one patients with acute gouty arthritis of the ankle were treated under arthroscopy from January 2010 to June 2012. All the patients were male, age in ranging from 28 to 69 years with an average of 43 years. Eighteen patients were in the left ankles and 23 in the right ankles;12 cases were firstly attack and 29 cases were recurrent attack. Course of disease was from 2 weeks to 30 months. The American Orthopedic Foot and Ankle Society(AOFAS) Ankle-Hindfoot Scale score was used to evaluate the clinical effects. Number of acute attacks of gouty arthritis were observed. Results:All the patients were followed up at least 12 months. The mean AOFAS Ankle-Hindfoot Scale score increased from 58.44±9.45 preoperatively to 86.15±7.36, 83.41±9.22, 84.10±8.22 postoperatively at 6, 12, months and the last follow-up respectively. Swelling of the ankle were improved significantly, pain was relieved and the mean number of acute attacks of gouty arthritis decreased significantly. Conclusion:Arthroscopy is helpful for the diagnosis of acute gouty arthritis of the ankle and improvement of clinical symptoms and ankle function.