膜关节

Joint friction and micromotion should inevitably form the biofilm and debris around the prosthesis, which will provide a breeding ground for the propagation of pathogenic microorganisms. On the contrary, the destruction of bone around the joint caused by infection is one of the reasons of joint sinking.

在一定条件下，术后关节感染与假体松动又是相互促进的，关节的摩擦和微动，必然会在假体周围形成界膜和微粒，这就为病原微生物的繁殖提供了条件；反之，关节周围的感染所造成的骨破坏，也是关节松动下沉的一个原因。

In response to repetitive strain and inflammation, the synovial l-z joints can fill with fluid and distend, resulting in pain from stretching the joint capsule.71 Distension of the articular recesses can also compress the exiting nerve root in the neural foramen or spinal canal, especially when the foramen is already narrowed by joint hypertrophy and/or osteophytes.

反复的应力与炎症反应，可使滑膜l-z关节充满滑液并扩张，导致关节囊收到牵拉产生疼痛。关节囊隐窝的扩张可以压迫神经孔出的神经根出口或压迫椎管内脊髓，尤其当由于关节肥大和/或骨赘形成已经存在椎间孔狭窄时发生率更高。

Osteoarthritis of the facet joints is similar to that of all diarthrodial joints, which displayed many changes such as cartilaginous surface defects, subchondral bone sclerosis, osteophyte formation, narrow capsule, apophyseal misalignment, and synovial hyperplasia.

腰小关节骨性关节炎同其他关节的骨性关节炎一样，表现为软骨面的病损，软骨下骨的硬化及骨赘形成，关节腔狭窄，关节囊增厚及滑膜增生等改变。

Most perforated cases were located in the bilaminar and post band of disc and there were synovial hyperplasia, fibrillation, fibrocartilage rupture,and bone exposure.

关节盘穿孔大多数位于双板区与后带。关节盘穿孔出现滑膜增生，关节窝及关节结节表面纤维形成，软骨剥脱甚至骨质暴露。

Results: Arthroscopic examination showed that there were synovitis, debris and fibrillation in the joints of ADD with reduction; synovitis, synovial hyperplasia, debris, fibrillation, chondromalacia,fibrocartilage rupture and adhision in the joints of ADD without reduction.

76例84侧临床诊断为颞下颌关节盘前移位以及关节盘穿孔的病例进行颞下颌关节内窥镜检查。结果：可复性关节盘前移位的病例出现滑膜炎，关节腔内有絮状物，关节结节表面有纤维形成。

Results: Arthroscopic examination showed that there were synovitis, debris and fibrillation in the joints of ADD with reduction; synovitis, synovial hyperplasia, debris, fibrillation, chondromalacia,fibrocartilage rupture and adhision in the joints of ADD without reduction.

结果：可复性关节盘前移位的病例出现滑膜炎，关节腔内有絮状物，关节结节表面有纤维形成。不可复性关节结节表面纤维形成，关节软骨软化，软骨剥脱，同时伴有纤维粘连。

These include inflammatory arthritides such as rheumatoid arthritis, ankylosing spondylitis and reactive arthritis,99 101 synovial impingement,meniscoid entrapment, chondromalacia facetae, pseudogout,synovial inflammation, villonodular synovitis, and acute and chronic infection.102 106 Intrafacetal synovial cysts can be a source of pain because of distension and pressure on adjacent pain-generating structures, calcification,and asymmetrical facet hypertrophy.107 110 In a retrospective review of MRI scans in 303 consecutive patients with LBP, Doyle and Merrilees111 found that9.5% had facet joint synovial cysts, the large majority of which were located posteriorly.

包括炎症性关节炎如类风湿性关节炎，强直性脊柱炎及反应性关节炎等，还有滑液撞击，关节软骨版卡压，关节面软骨软化，假性痛风，滑液炎症，绒毛结节性滑膜炎和急慢性感染。小关节内滑囊囊肿可由于拉伸和压缩临近的疼痛发生结构，骨化及不对称关节增生等原因引起疼痛。在一项303例连续患者的MRI研究中，Doyle 和 Merrilees发现其中9.5%存在小关节囊肿，大部分发生于关节囊后部。

Methods selective and limited minimally invasive debridement under arthroscope was applied to 54 patients with osteoarthritis of knee joint; hyperplasia of inflammatory synovial membrane and abrasion of anterior cruciate ligament were chipped or vaporized with radiofrequency, the corpus liberum were taken out, cartilage was scoured into certain shape; excision or partial excision were performed to hyperplastic intercondyloid spine, osteophyma and menisci; intercondyloid fossa was formed.results 45 cases were followed up for an average of 18 months (from 6 months to 24 months); the clinical symptoms of most cases released obviously and the joint function improved.conclusions minimally invasive debridement under arthroscope can effectively release oa symptoms, improve joint function and raise the quality of life.

对54例膝关节骨性关节炎患者进行关节镜下选择性、有限化微创清理术。手术内容包括刨削或射频汽化增生的炎性滑膜组织和前交叉韧带磨损、游离体取出、软骨打磨成形、增生髁间棘切除、部分骨赘切除、半月板部分切除、髁间窝成形。结果随诊45例，平均18个月（6～24月），大多数患者临床症状明显缓解，关节功能改善。结论关节镜微创清理术可有效缓解oa症状，改善关节功能，提高生活质量。骨关节炎；膝关节；关节镜检查

Methods Chose 77 TMD patients randomly and divided them into three groups according to clinical examination and x-ray examination (panoramic transcranial views of closed mouth and arthrograpnic examination.): synovitis group, disc anterior displacement group, and osteoarthropathy group.

对77例颞下颌关节紊乱病患者，经临床及X线检查（包括双侧颞下颌关节开闭口位及患侧关节造影检查）分为三组：滑膜炎组、关节盘前移位组、骨关节病组。10名正常健康人作对照。

Abstractive】 objective to investigate the diagnostic superiorty and therapeutic efficiancy of arthroscopic debridement for the osteoarthritis of the knee.methods 65 cases（74 knee） of senile osteoarthritis of the knee were debrided under arthroscopy with local anesthesia.the procedures included removal of hyperplastic membrance and raw surface of degenerated cartilage,repairing the meniscus,and reshaping of the intercondylar fossa.results 55 cases（67 knee） were followed up for 20 months in average.the pain was relieved and the function of the knee joint was restored in most patients.

目的 探讨关节镜下清理术治疗骨性关节炎的诊断价值及治疗效果。方法对65例（74膝）膝关节骨性关节炎患者采用局麻下行关节清理术，手术清理增生炎性滑膜，清理退变剥脱的软骨及打磨软骨创面，修整损伤半月板，取出关节内游离体、碎骨屑及炎性介质，髁间窝成形术解除撞击及磨损前交叉韧带。结果随诊55例（67膝），随访时间6～42个月，平均20个月，多数患者临床症状消失或者疼痛症状减轻，关节功能明显改善。

If you are unfortunate enough to the lovelorn, please tell me, I will help you out, really, please contact me!

如果你不幸失恋了，请告诉我，我会帮助你摆脱困境，真的，请联系我啦！

China's plan to cut energy intensity by 20 percent and pollutant discharges by 10 percent between 2006 and 2010 is a case in point.

中国计划在2006年到2010间降低20%的能源强度和减少10%的主要污染物排放，就是一个这样的例子。