滑膜结核的关节镜诊断和治疗

目的探讨关节镜在早期单纯滑膜结核诊断和治疗中的作用。方法对１９８６年９月～１９９６年９月以关节肿痛为主要表现、行早期关节镜检查及镜下滑膜切除术并经病理确诊为滑膜结核的１８例患者进行回顾分析。结果１８例中有４例术前拟诊为结核，术后经病理确诊。余１４例经关节镜及病理检查确诊。平均随访３年４个月，所有关节症状消失，功能良好，疗效均满意。结论关节镜检查是滑膜结核早期诊断的有效手段，关节镜下滑膜切除术可清除大量病变滑膜、致病菌和炎症介质，有利于局部结核的控制

Arthroscopy in diagnosis and treatment of tuberculous synovitis

Objective To evaluate the role of arthroscopy in the diagnosis and treatment of early tuberculous synovitis. Method Eighteen patients with monoarticular synovitis who underwent arthroscopy and diagnosed as tuberculous synovitis because of arthroscopic findings and synovial biopsies from September 1986 to September 1996 were reviewed. Result Four out of 18 patients were diagnosed on the basis of clinical manifestations and laboratory results before operation, and proved pathologically after operation. The other 14 cases were definitely diagnosed by arthroscopy and pathological examination. With an average of 3 years and 4 months follow up, the results of the treatment were excellent. Symptoms disappeared, and full joint functions restored in each case. Conclusion Arthroscopy is a useful method in the diagnosis and treatment of early tuberculous synovitis.