摘要
本文报告了24例滑膜软骨瘤病。病变发生在膝关节16例,髋、肘关节各4例,全部病例均行手术治疗。从各关节切除软骨小体游离体数目为2~689颗不等,只有病理检查发现滑膜多发生软骨化生才能确诊本病,取除全部软骨新生物或游离体治疗成功的关健。大多数病例作局部滑膜切除是恰当的,滑膜的完全或次全切除仅仅适应于滑膜广泛受累的病例。如果滑膜正常,单纯作游离体切除即可。
24 cases of synovial chondromatosis were examined including 16 males and 8 females of 22-64 yrs of age. The lesions were located in the knee (16), hip (4) and elbow(4) joints. All cases were treated surgically. The number of cartilaginous nodules and joint mice removed from each joint ranged from 2 to 689. The authors emphasize that the diagnosis could not be definitely established unless multiple foci of cartilaginous metaplasia were found in biopsy of the synovial membrane and that complete removal of cartilaginous nodules and joint mice was essential for successful treatment. Since the disorder is self-limiting, local synovectomy is adequate in most cases and total or subtotal synovectomy is indicated only in cases with extensive synovial menr-brane involvement. If the synovial membrane is normal, simple removal of joint mice is enough.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
1989年第4期265-269,共5页
Acta Academiae Medicinae Sinicae