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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。
" L4 {! ^* i2 `' K& I6 F ( 孙铁峥 吕厚山 )
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