|
楼主 |
发表于 2008-11-20 10:01:14
|
显示全部楼层
139-3-第三节 小 结
在关节镜的检查和治疗领域,风湿科医生尚面临以下课题:制定不同关节炎关节内病变的评估标准;扩展协作研究;对膝关节以外的关节开展关节镜检。达到上述目标,可以使风湿科医生加强对疾病在肉眼和镜下表现的了解。通过结果评估研究将揭示生物制剂在组织细胞或者分子水平的作用机制,关节清理和滑膜切除术可能成为风湿科医生对关节炎行传统治疗的替代方式。如果关节镜能够将相关基因、软骨生长因子或者细胞因子等制剂向关节内定向输人,肯定将会成为关节炎治疗上的突破。
. T4 G# |* ]+ a3 X4 h | ( 孙铁峥 吕厚山 )
; ~ Q. I/ G7 d( T, k4 N2 ^9 n2 r 参考文献:
4 _1 c4 W+ b r! K; g; z1 |1 }
3 ]7 @) c9 k8 s% P" ~8 m Andrews JR,Broussard TS, Carson WG. Arthroscopy of theshoulder in the management of partial tears of the rotator cuff: Apreliminary report. Arthroscopy,1985.1:117一110
7 |3 q3 W+ d! E+ N
3 a" o& a9 `3 i Baumgaertner MR, Cannon WD Jr, Vittori JM, et al. Arthro-scopic debridement of the arthritic knee. Clin Orthop Related Res,1990.253:1977一202
4 J" q& [3 Y; f" L0 U6 ^0 Z' G8 K2 c% [+ U, q* i
Burks RT. Arthroscopy and degenerative arthritis of the knee: A review of the literature. Arthroscopy. 1990.6:43一45
& I1 l, m( x; f3 ?2 ~3 K, f+ {
# a! w0 X' s* @! |" X/ S9 ?3 H, g Chang RW, Falconer J, Stulberg SD, et al. A randomized,controlled trial of arthroscopic surgery versus closed一needle jointlavage for patients with osteoarthritis of the knee. ArthritisRheum, 1993. 36:2897一296 ' v [ c8 E2 ~/ W& V
8 X+ i O. g6 B k( F3 G
Cohen S,Jones R. An evaluation the efficacy of arthroscopicsynovectomy of the knee in rheumatoid arthritis: 12-24 month re-sults. J Rheumato1,1987. 14:4527一455
. l+ {! S" n7 [2 Y
1 A, k! i! L) V5 b Doets HC, Bierman BT, Von Soesbergen RM. Synovectomyof the rheumatoid knee does not prevent deterioration: Seven-yearfollow-up of 83 cases. Acta Orthop Scand,1989. 60:5237一526
3 p+ g- m* M. z( g$ Z! Y) c8 g( i+ A/ S+ o$ j" M
Gross DE, Brenner SL, Esformes 1, et al. Arthroscopic treat-ment of degenerative joint disease of the knee. Orthopedics, 1991.14:13177一1319
7 m0 _- e% Y, e# Y: Q7 B7 A' ^. O- ]+ ~
Jackson RW. The septic knee- Arthroscopic treatment.Arthroscopy,1985.1:1947一199 + C: Z6 U- n& s% o
_2 ?2 _6 C/ _# S* J* e. {
Klashman DJ, Moreland LW, Ike RW, et al. Occult presenceof CPPD crystals in patients undergoing arthroscopic knee irriga-tion for refractory pain related to osteoarthritis. Arthritis Rheum,1994.37:S240.7
( J7 o* m2 ]! e, l5 I- i/ C6 G6 `* {, ~3 v/ d
Lindh M, Norlin R. Arthroscopic subcromial decompressionversus open acromioplasty:A 2-year follow-up study. Clin Orthop,1993.290:1747一179 & P4 w$ ^1 N/ Q, x- D, p
% c# {+ X/ A4 z! _ Livesley PJ, Doherty M, Needhoff M, et al. Arthroscopiclavage of osteoarthritis knees. J Bone Jt Surg, 1991. 7313:9227一926M atsuisynovectomy177一20N,Taneda Y,Ohta H, et al. Arthroscopic versus openin the rheumatoid knee. Internat Orthop,1989. 13: 8 i" S$ ~% b$ O! k: f5 g+ l
6 ~! M( p S0 C: j* J
McGinty JB, Friedman PA. Arthroscopy of the knee. ClinOrthop,1976.121:11737一180 2 P* l5 g1 `. v3 I
: \% n+ T8 |; I* N! Y T$ U Ochi T, Iwase R, Kimura T, et al. Effect of early synovecto-my on the course of rheumatoid arthritis. J Rheumatol,1991.18:17947一1798
! Q/ u" U3 m" ]; j5 t8 q" |8 v
# O& a- d" K5 v% o8 @% s2 q Ogilvie-Harris DJ, Fitsialos DP. Arthroscopic management ofthe degenerative knee. Arthroscopy,1991 . 7:1517一157
9 g* K/ A" J2 `0 h# j( x' J) `0 A
9 R L/ B- ?. B: G5 q' U Rand JA. Role of arthroscopy in osteoarthritis knee.Arthroscopy,1991.7:3587一360 ! G5 N- |5 j9 [) L
1 x1 w& M. s$ E# ^. A: r/ g: O Rosenberg PS, Clarke RP. Chronic rotator cuff tears(re-view).Orthop Rev,1986.15:2807一284 " _7 B7 W; W! y9 u5 ^% ?; w
- d. r+ M. G, {
Sim FH. Synovial proliferation disorders: Role of synovecto-my.Arthroscopy,1985.1:1987一200 # N4 D' _; ?! R# `4 G. F/ {: }
, T f$ Y5 f0 O6 u( g! h. F Widel JD. Arthroscopic synovectomy for chronic hemophilicsynovitis of the knee. Arthroscopy,1985.1 :2057一208 |
|