| 丛春雷潘海乐△ 陶树清李锋徐亮.巨大痛风石手术切除一例及文献复习[J].,2012,12(22):4277-4280 |
| 巨大痛风石手术切除一例及文献复习 |
| Surgical Resection of a Huge Case of Tophi and Rview of Literature |
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| DOI： |
| 中文关键词: 巨大痛风石 手术切除 疗效 |
| 英文关键词: Huge tophi Surgical resection Efficacy |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨晚期巨大痛风石结节的临床表现及手术治疗效果。方法：回顾性分析一例典型病例患者的临床资料、手术方法的
选择以及病理学表现。结果：该患者为晚期通风症患者，发展为痛风石。表现为痛风石结节增生，破坏肌腱以及骨组织。各项辅助
检查以及手术后病理结果均支持痛风病的诊断。通过手术切除第一跖趾关节旁巨大痛风石，疗效满意。结论：痛风是一种因嘌呤
代谢紊乱所致的疾病，本例患者经过各种保守对症治疗均无效。接收此患者后，通过文献复习分析以及临床检查确诊，本病例痛
风病变已发展至晚期巨大痛风石结节。只有通过手术治疗才能彻底治愈。手术后证明对晚期巨大痛风石结节同时伴有骨关节破
损的痛风石患者行手术治疗是完全可行，且疗效显著。 |
| 英文摘要: |
| Objective: To investigate the clinical manifestations of the late great tophi nodules and surgical treatment. Methods:
Retrospectively analyzed typical example of case patients with clinical data, the choice of Surgical methods and the pathological findings.
Results: This patient with advanced ventilation disease developed into tophi. The performance of tophi is nodular hyperplasia of tophi
which destructed the tendon and bone tissue. The secondary inspection and surgery after the pathology results support the diagnosis as
gout. By surgical removal of the huge tophi next to the first metatarsophalangeal joint, the results were satisfactory. Conclusion: Gout is
the disease which is resulted of purine metabolism. A variety of conservative symptomatic treatment are invalid for this patient. After
receiveing this patient, through literature review and clinical examination we confirmed that this patient is nodular hyperplasia of tophi.
Only surgery could completely cure it. It proved after surgery that the late great tophi nodules accompanied by tophi in patients with
damaged bone and joint surgery is entirely feasible, and the effects were significant. |
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