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慢性创伤性滑囊炎

慢性创伤性滑囊炎

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慢性创伤性滑囊炎介绍
  • 本病是由创伤所引起,规范治疗预后较好
  • 患者可有局部肿块、疼痛、关节活动受限等
  • 药物及保守治疗为主,效果不佳应手术治疗

简介

滑囊是肌肉和肌腱的附属结构,滑囊中有少量滑液。人体内有很多滑囊,存在于体内坚韧结构(骨骼、肌肉、韧带、皮肤)的两个摩擦面之间,主要起到增加润滑减少摩擦、减轻压力,促进运动灵活性的作用。慢性创伤性滑囊炎,是指滑囊因为慢性劳损或直接暴力损伤等原因,导致滑囊壁增厚,滑囊滑液分泌增加、渗出,出现无菌性炎症反应,患者可出现局部疼痛、压痛、肿块、关节活动受限等临床表现。本病以药物及保守治疗(减少负荷、固定等)为主,效果不佳者可手术治疗,预后较好[1]

症状表现

主要临床表现有局部疼痛、压痛、肿块、关节活动受限等。

诊断依据

通过临床表现(局部疼痛、压痛、肿块、关节活动受限等),结合体格检查(触诊扪及肿块)、实验室检查(血常规、血尿酸及类风湿因子)排除感染、痛风、类风湿性关节炎等疾病,从而初步诊断本病。通过影像学检查(B超、X线、MRI)可更直观地观察滑囊病变情况,确诊本病。此外,也可通过滑囊穿刺液检查诊断(囊液为黏液代表慢性,囊液培养也可协助鉴别病因)。

慢性创伤性滑囊炎有哪些类型?

本病根据发病部位,可分为(以下几种相对常见):

  1. 慢性创伤性膝部滑囊炎;
  2. 慢性创伤性肩部滑囊炎;
  3. 慢性创伤性肘部滑囊炎;
  4. 慢性创伤性髋部滑囊炎;
  5. 慢性创伤性踝部滑囊炎 ;
  6. 慢性创伤性跟腱滑囊炎。

是否具有传染性?

是否常见?

慢性创伤性滑囊炎是常见病,目前尚无确切的流行病学统计数据。

是否可以治愈?

可以治愈。通过药物治疗、保守治疗及手术治疗可治愈本病。

是否遗传?

是否医保范围?

快速问医生
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