中国中医骨伤科杂志2026，Vol.34Issue(2)：1-11,11.DOI:10.20085/j.cnki.issn1005-0205.260201
痛风性关节炎/痛风石外科诊疗专家共识
Expert Consensus on Surgical Management of Gouty Arthritis/Tophi
肖涟波 1杨功旭 2金群华 3接力刚 4糜菁熠 5何东仪 1戴生明 6陶金辉 7戴号 1沈军 1程少丹 1黄慈波 8陈卫衡 9雷光华 10凌光辉 11于杰 12薛愉 13卢启贵 14许鹏15
作者信息
- 1. 上海市光华中西医结合医院(上海,200052)||上海市中医药研究院关节病研究所
- 2. 湖北省中医院
- 3. 宁夏医科大学总医院
- 4. 南方医科大学珠江医院
- 5. 无锡市第九人民医院
- 6. 上海市第六人民医院
- 7. 中国科学技术大学附属第一医院
- 8. 深圳大学附属华南医院
- 9. 北京中医药大学附属第三医院
- 10. 中南大学湘雅医院
- 11. 中南大学湘雅二医院
- 12. 中国中医科学院望京医院
- 13. 复旦大学附属华山医院
- 14. 深圳市罗湖区中医院
- 15. 西安市儿童医院
- 折叠
摘要
Abstract
Gout is a metabolic rheumatic disease characterized by hyperuricemia resulting from purine metabolism disor-ders and/or reduced uric acid excretion,leading to monosodium urate(MSU)crystal deposition and tissue damage.It can affect joints,causing gouty arthritis and significantly impairing patients'quality of life.Although urate-lowering drug ther-apy has played a significant role in managing gouty arthritis and tophi,surgical intervention is often required for severe structural damage,functional limitations,or refractory pain in soft tissues and/or joints caused by tophi that are unrespon-sive to conservative treatment.To systematically enhance the standardization of surgical diagnosis and treatment for gouty arthritis and tophi,the Beijing Society of Integrative Medicine initiated a collaborative effort led by Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine and South China Hospital Affiliated to Shenzhen University.In partnership with the Institute for Joint Diseases,Shanghai Academy of Traditional Chinese Medicine,experts from rheumatology,joint surgery,and orthopedic departments at multiple Grade A tertiary hospitals nationwide were organized.Based on the Oxford Centre for Evidence-Based Medicine(OCEBM)grading system,this expert consen-sus addresses eight critical clinical issues,including indications for surgical intervention,perioperative management,surgi-cal technique selection,and rehabilitation by systematically evaluating the latest domestic and international evidence-based medical evidence and integrating China's clinical realities.It aims to enhance the effectiveness,scientific rigor,and stand-ardization of clinical decision-making.关键词
痛风性关节炎/痛风石/外科/诊疗/专家共识Key words
gouty arthritis/tophi/surgery/diagnosis and treatment/expert consensus分类
医药卫生引用本文复制引用
肖涟波,杨功旭,金群华,接力刚,糜菁熠,何东仪,戴生明,陶金辉,戴号,沈军,程少丹,黄慈波,陈卫衡,雷光华,凌光辉,于杰,薛愉,卢启贵,许鹏..痛风性关节炎/痛风石外科诊疗专家共识[J].中国中医骨伤科杂志,2026,34(2):1-11,11.
