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骨关节痛风结石的手术治疗
引用本文:严耀明. 骨关节痛风结石的手术治疗[J]. 临床骨科杂志, 2011, 14(4): 425-427
作者姓名:严耀明
作者单位:深圳市第三人民医院骨外科,广东,深圳,518020
摘    要:目的探讨骨关节痛风结石的手术治疗效果。方法对经临床确诊的11例骨关节痛风结石患者(39个关节)采用痛风病灶清除和刮骨植骨术,术前、术后药物治疗,术后早期行CPM关节功能锻炼和康复治疗。结果手术切口均一期愈合,关节畸形矫正,血尿酸下降。11例均获随访,时间6个月~3年。关节功能明显改善,无痛风石复发,手指麻木感减轻。结论对骨关节痛风结石患者采用以手术为主的综合治疗效果较好。

关 键 词:骨关节  痛风  痛风结石  手术治疗

Operative treatment of bone and joint tophus
YAN Yao-ming. Operative treatment of bone and joint tophus[J]. Journal of Clinical Orthopaedics, 2011, 14(4): 425-427
Authors:YAN Yao-ming
Affiliation:YAN Yao-ming(Dept of Orthopaedics,the Third People′s Hospital of Shenzhen,Shenzhen,Guangdong 518020,China)
Abstract:Objective To explore the effect of operative therapy of bone and joint tophus.Methods 39 joints of 11 patients with bone and joint tophus confirmed through clinical diagnosis were performed debridement of gout lesions,tophus resection and autologous bone graft.Medical therapy was done preoperatively and postoperatively.CPM function training and rehabilitation therapy were allowed early postoperatively.Results Primary healing of the wound was achieved in all cases,deformity of joint was corrected,and serum u...
Keywords:bone and joint  gout  tophus  operative therapy  
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