Remedial sanation arthroscopy in gouty arthropathy of the knee joint
Tsel' issledovaniya. Izuchali effektivnost' artroskopicheskoy sanatsii u patsientov s podagricheskoy artropatiey kolennogo sustava. Material i metody. Lechebnuyu sanatsionnuyu artroskopiyu vypolnyali 36 bol'nym podagroy s mnogoletnim anamnezom zabolevaniya i porazheniem kolennogo sust...
Main Authors: | , |
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Format: | Article |
Language: | Russian |
Published: |
IMA-PRESS LLC
2007-09-01
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Series: | Современная ревматология |
Online Access: | https://mrj.ima-press.net/mrj/article/view/124 |
Summary: | Tsel' issledovaniya. Izuchali effektivnost' artroskopicheskoy sanatsii u patsientov s podagricheskoy artropatiey kolennogo sustava. Material i metody. Lechebnuyu sanatsionnuyu artroskopiyu vypolnyali 36 bol'nym podagroy s mnogoletnim anamnezom zabolevaniya i porazheniem kolennogo sustava. Pokazaniem k artroskopii schitali khronicheskiy artrit, rezistentnyy k standartnomu lecheniyu, a takzhe nalichie vyrazhennoy funktsional'noy nedostatochnosti porazhennogo kolennogo sustava.
Pri sanatsionnoy artroskopii naryadu s aktivnym promyvaniem sustava vypolnyali ochishchenie sustavnykh poverkhnostey ot obshirnykh skopleniy uratnykh depozitov s pomoshch'yu artroskopicheskoy sheyvernoy frezy.
Rezul'taty issledovaniya. Otmecheny khoroshaya perenosimost' dannoy operatsii, a takzhe vyrazhennyy protivovospalitel'nyy effekt i znachitel'noe uluchshenie funktsii kolennogo sustava na protyazhenii 2 let posleoperatsionnogo nablyudeniya. Avtory polagayut, chto nakoplenie bol'shoy massy uratov v sustave yavlyaetsya vazhnym faktorom khronizatsii podagricheskogo artrita i opredelyayushchim faktorom formirovaniya biomekhanicheskikh narusheniy v kolennom sustave.
Zaklyuchenie. Predlozhennaya avtorami metodika sanatsionnoy artroskopii znachitel'no rasshiryaet spektr lechebnykh vozmozhnostey i pozvolyaet optimizirovat' lechebnuyu taktiku pri khronicheskom podagricheskom artrite kolennogo sustava. |
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ISSN: | 1996-7012 2310-158X |