中文摘要：

目的探讨关节镜技术治疗不同原因所致踝关节肿痛的临床疗效。方法采用关节镜治疗的28例不同原因所致踝关节肿痛患者，其中男性13例（15踝），女性15例（17踝），年龄15～70岁（平均40岁）；单纯左踝损伤11例，单纯右踝损伤13例，双侧踝关节损伤4例。病因：13例退行性关节炎，8例滑膜炎（包含急性和慢性），3例损伤性骨关节炎，2例关节游离体，1例类风湿病，1例尿酸性关节炎。结果术后随访6～36个月（平均20个月）。AOFAS评分由术前的（72.9±10.4）分增加至术后3个月的（86.3±2.9）分、6个月的（89.6±5.1）分，术前术后比较，差异有统计学意义（P＜0.05）。关节功能：术后3个月时优1例，良17例，可10例；术后6个月时优2例，良24例，可2例。结论关节镜对多种原因所致的踝关节肿痛有较好的临床疗效，值得推广应用。

英文摘要：

ObjectiveTo evaluate the clinical efficacy of arthroscopic in the treatment of ankle joint swelling and pain caused by different reasons. MethodsA total of 28 patients with ankle joint swelling and pain caused by different reasons were treated with arthroscopic, including 13 men （15 ankles） and 15 women （17 ankles） with a mean age of 40 years （range from 15 to 70 years）;11 cases of left ankle injury, 13 cases of right ankle injury, and 4 cases of bilateral ankle joint injury. Etiology： 13 cases of degenerative arthritis, 8 cases of synovitis （including acute and chronic）, 3 cases of traumatic osteoarthritis, 2 cases of articular loose bodies, 1 cases of rheumatoid arthritis, 1 cases of uric acid arthritis. ResultsThe follow-up time was 6-36 months （mean 20 months）. The AOFAS scores increased from （72.9±10.4） preoperative to （86.3±2.9） and （89.6±5.1） at 3 and 6 months postoperative, respectively（P〈0.05）. The results of Meislin criteria score found that the prognosis of 28 cases showed 1 of well outcome, 17 of good outcome, 10 of moderate and 0 of poor in followed-up 3 months after operation; the prognosis of 28 cases showed 2 of well outcome, 24 of good outcome, 2 of moderate and 0 of poor in followed-up 6 months after operation. ConclusionDue to various reasons of ankle arthroscopy has good clinical curative effect of joint swelling and pain, it is worthy of popularization and application.