摘要
目的探讨滑膜软骨瘤病外科诊断和治疗经验。方法对1986~1997年期间经治的13例滑膜软骨瘤病的诊断、治疗及其病理特点进行总结、分析。结果滑膜软骨瘤病临床多表现为间歇性关节疼痛、肿胀、功能受限,活动时关节有弹响声或磨擦感,少数有关节交锁,有的可扪及活动性包块;X线片显示关节内游离体数目往往少于关节内游离体的实际数目;术中肉眼可见病变滑膜充血、增厚、表面粗糙;镜下见血管增生、淋巴细胞聚集、滑膜囊层细胞及纤维组织增生,游离体由许多软骨小结节堆砌而成,其间有纤维组织包绕。结论临床、X线及病理相结合是诊断滑膜软骨疾病的关键,手术摘除游离体,切除病变滑膜,可收到满意疗效。
Objective To study the diagnosis and treatment of
synovial chondromatosis. MethodZ13 cases of synovial chondromatosis were studied by
pathological observation, Xray examination and clinical research. Results Intermittant joint
pain,swelling,limited motion,joint snapping or rubbing were found,sometimes with joint
tnterlocking and movable mass in the joint.Xray showed fower loose bodies than the actual
ones in the joint.Rough surface,congestion and thickening of synovial membrane at the lesion
were found during the operationg. Proliferation of blood vessels,accumulation of lymphocytes
and proliferation of synovial superficial cells and fibrous tissue were observed under the
microscope.The loose body consisted of many tubercles microscopically. Conclusions The
combination of clinical observation,Xray examination and pathological diagnosis is assential to
the diagnosis of synoveal chondromatosis.Excision of loose body and synovial membrane may
lead to satisfying results.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1999年第6期364-365,共2页
Chinese Journal of Surgery
关键词
外科手术
滑膜疾病
滑膜软骨瘤病
诊断
Chondromatosis,synovialJoint loose
bodiesSurgery,operative