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首页> 外文期刊>Modern rheumatology >Short-term outcome of finger joint synovectomy in rheumatoid arthritis
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Short-term outcome of finger joint synovectomy in rheumatoid arthritis

机译：类风湿关节炎手指关节滑膜切除术的近期预后

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摘要

Rheumatoid arthritis (RA) frequently affects finger joints, and persistent synovitis is believed to cause not only bone destruction but also various deformities of the fingers in the long run. Synovectomy of the finger joints is carried out when chronic swelling of the synovium does not respond to any conservative treatment with medication and rehabilitation. In the present study the short-term results of finger joint synovectomy in RA were reviewed in 49 finger joints. The subjects were evaluated at two time points, with average follow-up periods of 14 and 62 months, and the results were compared between the two follow-up time points. In regard to results, pain relief, swelling abatement, and only a little loss of motion were observed in most fingers. Moreover, only a few patients demonstrated progression of bone destruction, suggesting that synovectomy has a retarding effect and tends to be effective especially in the early stages of the disease. In conclusion, we recommend synovectomy for finger joints in RA patients before bone changes occur, and when chronic synovitis of the finger joints does not respond to any other conservative treatment.
机译：类风湿关节炎（RA）经常影响手指关节，并且从长远来看，持续性滑膜炎不仅会导致骨骼破坏，还会导致手指的各种畸形。当滑膜的慢性肿胀对药物和康复的任何保守治疗均无反应时，则进行手指关节的滑膜切除术。在本研究中，对49个手指关节中RA的手指关节滑膜切除术的短期结果进行了回顾。在两个时间点对受试者进行评估，平均随访期分别为14和62个月，并在两个随访时间点之间比较结果。关于结果，在大多数手指中仅观察到疼痛缓解，肿胀减轻以及运动很少。而且，只有少数患者表现出骨破坏的进展，这表明滑膜切除术具有阻滞作用并且倾向于有效，特别是在疾病的早期阶段。总之，我们建议RA患者在发生骨质改变之前以及当手指关节的慢性滑膜炎对其他任何保守治疗均无反应时，对手指关节进行滑膜切除术。

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