PDF(Pubmed)
Abstract：
BACKGROUND: Pigmented villonodular synovitis (PVNS) is a benign proliferative disorder that affects the synovial joints, bursae, and tendon sheaths. To date, few studies have reported on the treatment of postoperative pain and edema in patients with PVNS. Herein, we present the case of a woman who developed pain and edema in the left lower limb 1 wk after synovectomy and arthroscopic partial meniscectomy and was unable to walk due to limited flexion and extension of the left knee.
METHODS: A 32-year-old woman underwent synovectomy and arthroscopic partial meniscectomy successively and was treated with a combination of manual lymphatic drainage (MLD) and kinesio taping (KT) in our hospital to alleviate postoperative pain and edema. The following parameters were assessed at 2 wk post-treatment and 1 wk post-discharge follow up: suprapatellar circumference, infrapatellar circumference, visual analog scale score, knee range of motion, pittsburgh sleep quality index score, hamilton anxiety rating scale (HAMA) score, and hamilton depression rating scale (HAMD) score. After treatment, the postoperative pain and edema in the patient\'s left knee were effectively relieved, resulting in improved sleep quality and remarkably attenuated HAMA and HAMD scores.
CONCLUSIONS: Combined MLD and KT may be an effective approach for relieving postoperative pain and edema in patients with PVNS.
METHODS: A 32-year-old woman underwent synovectomy and arthroscopic partial meniscectomy successively and was treated with a combination of manual lymphatic drainage (MLD) and kinesio taping (KT) in our hospital to alleviate postoperative pain and edema. The following parameters were assessed at 2 wk post-treatment and 1 wk post-discharge follow up: suprapatellar circumference, infrapatellar circumference, visual analog scale score, knee range of motion, pittsburgh sleep quality index score, hamilton anxiety rating scale (HAMA) score, and hamilton depression rating scale (HAMD) score. After treatment, the postoperative pain and edema in the patient\'s left knee were effectively relieved, resulting in improved sleep quality and remarkably attenuated HAMA and HAMD scores.
CONCLUSIONS: Combined MLD and KT may be an effective approach for relieving postoperative pain and edema in patients with PVNS.
摘要：
背景：色素沉着绒毛结节性滑膜炎（PVNS）是一种影响滑膜关节的良性增生性疾病，法氏囊,和肌腱鞘.迄今为止,很少有研究报道PVNS患者术后疼痛和水肿的治疗。在这里，我们介绍了一例女性，在滑膜切除术和关节镜下半月板部分切除术后1周出现左下肢疼痛和水肿，由于左膝屈伸受限而无法行走。
方法：一名32岁妇女先后接受了滑膜切除术和关节镜下半月板部分切除术，并在我院接受了手动淋巴引流（MLD）和运动贴膜（KT）的联合治疗，以减轻术后疼痛和水肿。在治疗后2周和出院后1周随访时评估以下参数：髌上围，髌下圆周,视觉模拟量表评分，膝盖的运动范围，匹兹堡睡眠质量指数评分，汉密尔顿焦虑量表(HAMA)评分，和汉密尔顿抑郁量表(HAMD)评分。治疗后,术后患者左膝关节疼痛及水肿得到有效缓解,改善睡眠质量，显著降低HAMA和HAMD评分。
结论：MLD和KT联合应用可能是缓解PVNS患者术后疼痛和水肿的有效方法。
方法：一名32岁妇女先后接受了滑膜切除术和关节镜下半月板部分切除术，并在我院接受了手动淋巴引流（MLD）和运动贴膜（KT）的联合治疗，以减轻术后疼痛和水肿。在治疗后2周和出院后1周随访时评估以下参数：髌上围，髌下圆周,视觉模拟量表评分，膝盖的运动范围，匹兹堡睡眠质量指数评分，汉密尔顿焦虑量表(HAMA)评分，和汉密尔顿抑郁量表(HAMD)评分。治疗后,术后患者左膝关节疼痛及水肿得到有效缓解,改善睡眠质量，显著降低HAMA和HAMD评分。
结论：MLD和KT联合应用可能是缓解PVNS患者术后疼痛和水肿的有效方法。
