足踝部痛风石清除术的早期临床观察
Early clinical observation on surgical removal of gouty tophi in foot and ankle
林泽玉 1曲军杰 1孙德麟 1王彦超 1崔建强 1康乐 1徐林1
作者信息
- 1. 滨州医学院烟台附属医院手足外科,山东烟台 264100
- 折叠
摘要
[目的]探讨手术切除足踝部痛风石的临床疗效.[方法]回顾性分析2016年12月—2022年6月接受足踝部痛风石切除术38例患者的临床资料.评价临床及检验结果.[结果]所有患者均顺利完成手术,术中未出现并发症,随访6～12个月.与术前相比,末次随访时,VAS评分[(6.3±1.1),(2.0±0.5),P＜0.001]、急性痛风发作频率[(3.5±0.9)次/月,(0.8±0.4)次/月,P＜0.001]均显著减少,AOFAS 评分[(66.1±3.7),(79.1±3.6),P＜0.001]、踝背伸 ROM[(8.8±2.8)°,(16.1±2.4)°,P＜0.001]、踝跖屈 ROM[(28.4±7.2)°,(41.6±4.5)°,P＜0.001]显著增加.检验方面,与术前相比,末次随访时血尿酸水平[(586.8±90)μmol/L,(392.1±21.5)µmol/L,P＜0.001]显著降低.[结论]手术清理足踝部痛风石可显著降低并控制尿酸水平,有效缓解疼痛、改善踝关节功能,临床疗效良好.
Abstract
[Objective]To investigate the clinical outcomes of surgical removal of gouty tophi in foot and ankle.[Methods]A retrospec-tive research was performed on 38 patients who underwent surgical removal of tophi in foot and ankle from December 2016 to June 2022.The clinical and laboratory data were evaluated.[Results]All patients had tophi in foot and ankle removed successfully with no complica-tions,and followed up from 6 to 12 months.Compared with those preoperatively,the VAS score[(6.3±1.1),(2.0±0.5),P＜0.001]and acute gout attack frequency[(3.5±0.9)times/month,(0.8～0.4)times/month,P＜0.001]significantly decreased,whereas the AOFAS score[(66.1±3.7),(79.1±3.6),P＜0.001],ankle dorsal flexion ROM[(8.8±2.8)°,(16.1±2.4)°,P＜0.001]and ankle plantar flexion ROM[(28.4±7.2)°,(41.6±4.5)°,P＜0.001]increased significantly at the latest follow up.In addition,compared with that preoperatively,the serum uric acid significant-ly declined at the latest follow up[(586.8±90)μmol/L,(392.1±21.5)μmol/L,P＜0.001].[Conclusion]Surgical removal of gouty tophi in foot and ankle does significantly reduce and control uric acid level,effectively relieve pain and improve ankle joint function,with good clinical ef-ficacy.
关键词
痛风/足踝/手术/临床疗效Key words
gout/foot and ankle/operation/clinical effect引用本文复制引用
出版年
2024
NETL
NSTL
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