关键词:软骨瘤病;滑膜;膝关节关;节镜检查
【摘要 】目的报道膝关节滑膜软骨瘤病15例,均用关节镜诊断及治疗,所有病例均经病理检查证实。作者对关节镜在本病诊断中的优点、分型及治疗方法进行探讨。方法所有15例病例均为膝关节病变,左膝关节6例,右膝关节7例,双侧膝关节2例。主要临床症状为关节疼痛、交锁及反复肿胀。关节镜术野好,可全面检查关节腔,具有放大作用,可提高本病的诊断率并有助于分型,关节镜下可将本病分为三型:表浅型、深在型和游离体型。治疗采用关节镜下游离体取出术、局限性滑膜切除术和并发退行性关节病变者行关节清理术。结果随访12例,平均3.2年,所有病例术后功能良好,未见复发。结论关节镜有助于本病的诊断与治疗,关节镜下取出游离体及切除异常滑膜组织是治疗本病的良好手段。
Arthroscopic Diagnosis andTreatment of Synovial Chondromatosis of the Knee
CHEN Jian,DU Liru,GU Guoliang,et al.
Arthritis Clinical and Research Center,People’s Hospital,Beijing MedicalUniversity,Beijing 100044
【Abstract 】 Objective Arthroscopy wasperformed in 15 patients with synovial chondromatosis of the knee.The diagnosis was allconfirmed by pathologic examination.Methods The lesion involved the left knee in 6 casesand 7 in the right knee ......
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