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首页> 外文期刊>Reumatologia >Knee synovectomy in children with juvenile idiopathic arthritis
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Knee synovectomy in children with juvenile idiopathic arthritis

机译：少年特发性关节炎儿童膝关节滑膜切除术

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An up-to-date opinion is provided on benefit-risk balance associated with various methods of treatment in children with idiopathic juvenile arthritis. The objective of this study was to assess long-term outcome of knee joint synovectomy in a group of patients with juvenile rheumatoid arthritis and to present the authors’ view on this approach. The authors concentrated on surgical methods which should allow painless rehabilitation and quick recovery of the correct knee function with good mobility. The challenge of providing anaesthesia for longer and more complex surgery in children with idiopathic juvenile arthritis is a reality. In conclusion, we may say that knee synovectomy is an effective method for fighting effusion involving knee inflammation in JIA. It must be stressed however that results of the treatment strongly depend on the decision time and the advancement of the disease. According to our experience, we do not agree with the view of some authors that surgical intervention is not indicated until erosions are radiologically manifested; the state of low disease activity is also preferred for surgical intervention.
机译：关于特发性青少年关节炎儿童的各种治疗方法相关的获益风险平衡，提供了最新的意见。这项研究的目的是评估一组青少年类风湿关节炎患者的膝关节滑膜切除术的长期结果，并提出作者对该方法的看法。作者专注于外科手术方法，该方法应能够无痛康复，并以良好的活动性迅速恢复正确的膝盖功能。为特发性青少年关节炎的儿童提供更长的时间和更复杂的手术麻醉是一个现实。总之，我们可以说，膝关节滑膜切除术是抗击JIA中涉及膝部炎症的积液的有效方法。但是必须强调的是，治疗的结果在很大程度上取决于决策时间和疾病的进展。根据我们的经验，我们不同意一些作者的观点，即只有在放射学表现出糜烂之前才需要进行手术干预。疾病活动度低的状态也优选用于外科手术。

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