切换至 "中华医学电子期刊资源库"

中华关节外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 343 -347. doi: 10.3877/cma.j.issn.1674-134X.2022.03.013

综述

痛风性膝关节炎的手术治疗进展
韦志明1, 方汉军2, 李中峰1, 梁煜鹏1, 凡一诺1, 吴云龙1, 章家皓1, 陈明海1, 何伟3, 周驰2, 陈镇秋2,()   
  1. 1. 510405 广州中医药大学第一临床医学院
    2. 510405 广州中医药大学第一附属医院
    3. 510375 广州中医药大学第三附属医院
  • 收稿日期:2021-09-12 出版日期:2022-06-01
  • 通信作者: 陈镇秋

Progress on surgical treatment of gouty arthritis of knee

Zhiming Wei1, Hanjun Fang2, Zhongfeng Li1, Yupeng Liang1, Yinuo Fan1, Yunlong Wu1, Jiahao Zhang1, Minghai Chen1, Wei He3, Chi Zhou2, Zhenqiu Chen2,()   

  1. 1. The first clinical medical college of Guangzhou University of traditional Chinese medicine, Guangzhou 510405, China
    2. The First Affiliated Hospital of Guangzhou University of traditional Chinese medicine, Guangzhou 510405, China
    3. The Third Affiliated Hospital of Guangzhou University of traditional Chinese medicine, Guangzhou 510375, China
  • Received:2021-09-12 Published:2022-06-01
  • Corresponding author: Zhenqiu Chen
引用本文:

韦志明, 方汉军, 李中峰, 梁煜鹏, 凡一诺, 吴云龙, 章家皓, 陈明海, 何伟, 周驰, 陈镇秋. 痛风性膝关节炎的手术治疗进展[J/OL]. 中华关节外科杂志(电子版), 2022, 16(03): 343-347.

Zhiming Wei, Hanjun Fang, Zhongfeng Li, Yupeng Liang, Yinuo Fan, Yunlong Wu, Jiahao Zhang, Minghai Chen, Wei He, Chi Zhou, Zhenqiu Chen. Progress on surgical treatment of gouty arthritis of knee[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(03): 343-347.

痛风性膝关节炎是一种临床上常见的,因体内尿酸生成过多或排泄减少,引起血尿酸水平升高,尿酸盐沉积于膝关节的一类晶体性关节炎。虽然内科治疗可获得良好的治疗效果,但晚期痛风性膝关节炎的患者往往存在关节功能障碍,甚至发生感染及窦道形成,严重影响患者生活质量。此时药物干预的疗效往往不能达到临床预期,需要采取相应的手术方式治疗。本文将介绍近年来手术治疗痛风性膝关节炎的进展。

Gouty arthritis of knee is a kind of crystal arthritis, which is common in clinic. Due to excessive production or reduced excretion of uric acid in the body, the level of blood uric acid increases and urate deposits in the knee joint. Although medical treatment can obtain good treatment results, patients with advanced gouty knee arthritis often have joint dysfunction, even infection and sinus formation, which seriously affect the quality of life of patients. At this time, the curative effect of drug intervention can not meet the clinical expectation, and corresponding surgical treatment should be taken. This review introduced the progress of surgical treatment of gouty arthritis of knee in recent years.

[1]
曾小峰,陈耀龙.2016中国痛风诊疗指南[J].中华内科杂志201655(11):892-899.
[2]
Yu KH, Chen DY, Chen JH, et al. Management of gout and hyperuricemia: Multidisciplinary Consensus in Taiwan[J]. Int J Rheum Dis, 2018, 21(4): 772-787.
[3]
Richette P, Doherty M, Pascual E, et al. 2018 updated European league against rheumatism evidence-based recommendations for the diagnosis of gout[J]. Ann Rheum Dis, 2020, 79(1): 31-38.
[4]
Kiltz U, Alten R, Fleck M, et al. Evidence-based recommendations for diagnostics and treatment of gouty arthritis in the specialist sector: S2e guidelines of the German Society of Rheumatology in cooperation with the AWMF[J]. Z Rheumatol, 2017, 76(2): 118-124.
[5]
Fang ZH, Waizy H. Current concepts in the treatment of gouty arthritis[J]. Orthop Surg, 2013, 5(1): 6-12.
[6]
何伟涛,丁晓虹,梁冰,等.多发性巨大痛风石手术治疗体会[J].临床骨科杂志201316(5):589-590.
[7]
王鹏,朱礼昆,何永静,等. VSD治疗足部痛风石破溃伴严重感染创面的体会(英文)[J].中国整形与重建外科(英文), 2019, 1(02): 5-11.
[8]
刘建平,张智才.封闭负压引流技术在治疗严重软组织缺损的疗效观察[J].甘肃医药201332(11):843-845.
[9]
邓薇,韦嵩,陈志煌,等.微创针刀镜的临床应用及研究进展[J].广西医学202143(3):359-362.
[10]
彭泽燕,何东初,张勇.微创针刀镜在痛风性关节炎中的应用价值[J].风湿病与关节炎20187(3):60-61+80.
[11]
Ozturk R, Atalay IB, Bulut EK, et al. Place of orthopedic surgery in gout[J]. Eur J Rheumatol, 2019, 6(4): 212-215.
[12]
孙勇,王贺,宋建东.针刀镜治疗膝痛风性关节炎32例[J].中国中医骨伤科杂志202028(4):60-61+65.
[13]
Aguilera X, Gonzalez JC, Celaya F, et al. Total knee arthroplasty in a patient with subcutaneous and intra-articular tophaceous gout - a case report [J]. Bull Hosp Jt Dis, 2014, 72:173-175.
[14]
范猛,姜文学.痛风性膝关节炎的手术治疗现状[J].中国矫形外科杂志201927(7):623-626.
[15]
Larmon WA. Surgical management of tophaceous gout[J]. Clin Orthop, 1970, 71:56-69.
[16]
郑英慧,谢平金,卢启贵,等.关节镜下碳酸氢钠灌洗治疗急性痛风性膝关节炎[J].中国中医骨伤科杂志202028(10):43-46.
[17]
邬欣,黄玮,甘一波,等.碳酸氢钠灌注液在关节镜下治疗痛风性关节炎的疗效研究[J].中国继续医学教育202012(17):147-149.
[18]
Conway N, Schwartz S. Diagnosis and management of acute gout[J]. Med Health R I, 2009, 92(11): 356-358.
[19]
Mackenzie H, Gulati V, Tross S. A rare case of a swollen knee due to disseminated synovial chondromatosis: a case report [J/OL]. J Med Case Rep, 2010, 23, 4:113. DOI:10.1186/1752-1947-4-113.
[20]
Park JW, Ko DJ, Yoo JJ, et al. Clinical factors and treatment outcomes associated with failure in the detection of urate crystal in patients with acute gouty arthritis[J]. Korean J Intern Med, 2014, 29(3): 361-369.
[21]
朱坤智,卢涛,罗张风,等.四肢痛风石外科治疗时机和适应证[J].中国组织工程研究202125(30):4883-4890.
[22]
Lui TH. Endoscopic resection of the gouty tophi of the first metatarsophalangeal joint[J]. Arch Orthop Trauma Surg, 2008, 128(5): 521-523.
[23]
Feng B, Lin J, Jin J, et al. Thirty-day postoperative complications following primary total knee arthroplasty: a retrospective study of incidence and risk factors at a single center in China[J]. Chin Med J, 2017, 130(21): 2551-2556.
[24]
Yu KH, Lien LC, Ho HH. Limited knee joint range of motion due to invisible gouty tophi[J]. Rheumatology (Oxford), 2004, 43(2): 191-194.
[25]
唐金平,何沛恒,黄帅,等.膝关节表面置换术治疗重度痛风性膝关节炎的疗效观察[J/CD].中华关节外科杂志(电子版)201812(1):35-39.
[26]
Kumar S, Gow P. A survey of indications, results and complications of surgery for tophaceous gout [J/OL]. N Z Med J2002, 115:U109. PMID:12362184
[27]
黎长坪.关节置换术治疗痛风性膝关节炎的临床效果[J].临床合理用药杂志201912(18):127-128.
[28]
Moon HS, Yoo JH, Park SH, et al. Acute gout attack immediately after total knee arthroplasty: a case report[J/OL]. JBJS Case Connect, 2020, 10(1): e0062. DOI:10.2106/JBJS.CC.19.00062.
[29]
Buck M, Delaney M. Diagnosis and management of gout in total knee arthroplasty[J]. Orthop Nurs, 2014, 33(1):37-42.
[30]
Jeong H, Jeon CH. Clinical characteristics and risk factors for gout flare during the postsurgical period[J]. Adv Rheumatol, 2019, 59: 31. DOI:10.1186/s42358-019-0075-7.
[31]
Hsu CY, Chen LR, Chen KH. Osteoporosis in patients with chronic kidney diseases: a systemic review[J/OL]. Int J Mol Sci, 2020, 18, 21(18):6846. DOI:10.3390/ijms21186846.
[32]
Rezapoor M, Parvizi J. Prevention of periprosthetic joint infection[J]. J Arthroplasty, 2015, 30(6): 902-907.
[33]
刘康,郭国栋,赵建宁.严重痛风性膝关节炎的膝关节表面置换[J].中国组织工程研究201620(4):486-491.
[34]
Chen CL, Shao H, Block JL, et al. Greater wound and renal complications in gout patients undergoing total joint arthroplasty[J]. J Arthroplasty, 2016, 31(7): 1431-1436.
[35]
Lee YM, Cho SN, Son E, et al. Apamin from bee venom suppresses inflammation in a murine model of gouty arthritis[J/OL]. J Ethnopharmacol, 2020, 15, 257:112860. DOI:10.1016/j.jep.2020.112860.
[36]
陈光亮,周媛凤,张颖.治疗痛风和高尿酸血症药物研究进展[J].中国临床药理学与治疗学201722(1):104-109.
[37]
李晨,曾学军.中国痛风石手术治疗文献回顾[J].中华临床免疫和变态反应杂志201812(1):25-30.
[38]
Arendse R, Gcelu A, Scott C, et al. Do the radiographic features of joint destruction in tophaceous gout imply a different pathophysiology to that of rheumatoid and psoriatic arthritis?[J]. Clin Rheumatol, 2010, 29(10): 1181-1183.
[39]
Carcione J, Bodofsky S, LaMoreaux B, et al. Beyond medical treatment: surgical treatment of gout[J/OL]. Curr Rheumatol Rep, 2020, 23(1):1. DOI:10.1007/s11926-020-00969-6.
[1] 史学兵, 谢迎东, 谢霓, 徐超丽, 杨斌, 孙帼. 声辐射力弹性成像对不可切除肝细胞癌门静脉癌栓患者放射治疗效果的评价[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 778-784.
[2] 李华志, 曹广, 刘殿刚, 张雅静. 不同入路下行肝切除术治疗原发性肝细胞癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 52-55.
[3] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[4] 孙莲, 马红萍, 吴文英. 局部进展期甲状腺癌患者外科处理[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 112-114.
[5] 许月芳, 刘旺, 曾妙甜, 郭宇姝. 多粘菌素B和多粘菌素E治疗外科多重耐药菌感染临床疗效及安全性分析[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 700-703.
[6] 刘柏隆, 周祥福. 压力性尿失禁阶梯治疗的项目介绍[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 125-125.
[7] 刘柏隆. 女性压力性尿失禁阶梯治疗之手术治疗方案选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 126-126.
[8] 石海波, 赵旭东, 王聪, 曲巍. 气肿性肾盂肾炎、气肿性膀胱炎并脓毒性休克一例报道并文献复习[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 644-647.
[9] 林逸, 钟文龙, 李锴文, 何旺, 林天歆. 广东省医学会泌尿外科疑难病例多学科会诊(第15期)——转移性膀胱癌的综合治疗[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 648-652.
[10] 王秋生. 胆道良性疾病诊疗策略[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 779-782.
[11] 陈杰, 武明胜, 李一金, 李虎, 向源楚, 荣新奇, 彭健. 低位直肠癌冷冻治疗临床初步分析[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 494-498.
[12] 刘琦, 王守凯, 王帅, 苏雨晴, 马壮, 陈海军, 司丕蕾. 乳腺癌肿瘤内微生物组的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 841-845.
[13] 王誉英, 刘世伟, 王睿, 曾娅玲, 涂禧慧, 张蒲蓉. 老年乳腺癌新辅助治疗病理完全缓解的预测因素分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 641-646.
[14] 丁洪基, 赵长江, 孙鹏飞, 王灿, 王贵珍, 李龙龙. 细胞焦亡与疾病的关系研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 682-686.
[15] 崔军威, 蔡华丽, 胡艺冰, 胡慧. 亚甲蓝联合金属定位夹及定位钩针标记在乳腺癌辅助化疗后评估腋窝转移淋巴结的临床应用价值探究[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 625-632.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?