痛风性关节炎/痛风石外科诊疗专家共识OA

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.