- 期刊
The Role of Arthroscopy in Tuberculosis of the Knee
關節鏡使用於膝結核性關節炎
摘要
膝結核性關節炎很少能夠立卽診斷，通常膝關節剛開始有病變時，常診斷為退化性或類風濕性關節炎。正確的診斷必須根據組織培養上或病理切片上能夠識別出結核桿菌。關節鏡使用於膝結核性關節炎具有重大的診斷價值，我們不但可由一些關節囊膜及絨毛變化小心鑑別並同時可做關節囊膜切片檢查及組織培養。 高雄醫學院骨科自民國69年至72年七月總共有31例膝結核性關節炎，其中17例為經由關節鏡診斷。在17例中有3例發生使用後併發症。茲報告膝關節鏡使用於膝結核性關節炎的臨床經驗。
關鍵字
無資料並列摘要
Tuberculous arthritis of the knee is seldom diagnosed promptly. Very often the initial diagnosis of these disorders is rheumatoid arthritis or osteoarthritis. Accurate diagnosis of the tuberculous arthritis of the knee was based on acid－fast organism identified by culture or histologic sections of the synovial tissue. Arthroscopy has the important value in the diagnosis of the tuberculous arthritis. Some specific changes on the synovium or villican be noted from arthroscopy and synovial biopsy can also be done at the same time. Thirty-one cases of the tuberculous arthritis of the knee were diagnosed from 1980 to July 1983 at Kaohsiung Medical College Hospital. Seventeen of them were diagnosed through arthroscopy. Three cases had post-arthro scopic sinus complication.
延伸閱讀
- Shih, K. Z. (1991). 急性膝關節血腫的診斷關節鏡術所占的角色. Journal of Orthopaedic Surgery Taiwan, 8(3), 203-208. https://www.airitilibrary.com/Article/Detail?DocID=10116923-199109-8-3-203-208-a
- Lee, H. M., & Hsieh, Y. H. (2009). 以關節鏡手術治療退化性膝關節炎之效益. Journal of Orthopaedic Surgery Taiwan, 26(2), 65-72. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200906-200907160049-200907160049-65-72
- 陳志華、施俊雄（1999）。膝關節鏡的臨床運用。當代醫學，(308)，479-482。https://doi.org/10.29941/MT.199906.0015
- 方宗義、陳永振（1984）。膝關節鏡的現況。Journal of Orthopaedic Surgery Taiwan，1(2)，94-100。https://www.airitilibrary.com/Article/Detail?DocID=10116923-198406-1-2-94-100-a
- 柯耿銘（2004）。骨筋正骨術在膝關節炎的運用。中國中醫臨床醫學雜誌，10(1)，69-72。https://doi.org/10.6968/TJCCTM.200403.0069