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- W3029055553 abstract "目的 探讨比较不同方法治疗早期单纯滑膜结核的效果.方法 对40例单纯滑膜结核患者采用不同治疗方法,A组:8例行单纯关节镜下滑膜切除手术治疗.B组:40例(含A组首次治疗失败的部分病例)行关节镜下活检加滑膜切除术,术后给予关节腔注射异烟肼和全身抗结核治疗.结果 两组均经病理检查确诊为滑膜结核.所有患者随访6～20个月.B组:关节症状改善明显.膝关节屈曲和伸直受限均得到明显改善,与治疗前相比较差异有统计学意义(P＜0.05),JOA[1]评分术前(45±5)分,术后(94±3)分(P＜0.05).两组症状改善不明显,与治疗前比较差异无统计学意义(P＞0.05).JOA评分治疗前后差异无统计学意义(P＞0.05).结论 早期单纯滑膜结核易误诊误治,不同方法治疗结核性滑膜炎效果不同,其中以关节镜下切除滑膜和清理肉芽组织结合抗结核药物治疗,效果较好,可有效控制病情,改善关节功能。" @default.
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- W3029055553 date "2009-02-25" @default.
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- W3029055553 title "Analysis of different treatments for tuberculous synovitis of the knee: a report of 40 cases" @default.
- W3029055553 doi "https://doi.org/10.3760/cma.j.issn.1674-4756.2009.04.022" @default.
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