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滑膜软骨瘤病13例临床分析 被引量:9

Synovial chondromatosis: clinical analysis of 13 cases
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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
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  • 1王儒敬,中华骨科杂志,1985年,5期,301页
  • 2邓爱民,中华外科杂志,1982年,10期,622页
  • 3陈达昌,铁路医学,1978年,6期,328页
  • 4郭汾,中华外科杂志,1965年,4期,375页
  • 5李树声,中南医学杂志,1952年,2期,539页

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  • 1胡毓亮.滑膜软骨瘤病X线征象分析[J].医学影像学杂志,2004,14(9):742-744. 被引量:14
  • 2徐德永,詹阿来.原发性滑膜(骨)软骨瘤病121例分析[J].中华放射学杂志,1993,27(7):467-471. 被引量:33
  • 3吕厚山,赵钟岳.滑膜软骨瘤病12例报告及其临床特点分析[J].中华外科杂志,1989,27(5):276-278. 被引量:22
  • 4Milgram JW .The elassfication of loose bodies in human joints [J].Clinorthop, 1977,124: 282.
  • 5王荣茂,卢森桂.滑膜软骨瘤病27例临床分析[J].中国矫形外科杂志,1997,4(2):131-132. 被引量:7
  • 6邓爱民 褚大由 沈绍元 等.滑膜软骨瘤病[J].中华外科杂志,1992,30:450-450.
  • 7Greenspan A,Remagen W.司建荣主译.骨关节肿瘤和肿瘤样病变的鉴别诊断[M].北京:中国医药科技出版社,2004.389-395.
  • 8Milgram JW.The classification of loose bodies in human joints[J].Clin Orthop Relat Res,1977,124:282-291.
  • 9邓爱,褚大由,沈绍远.骨膜性软骨瘤病[J].中华外科杂志,1982,20:622.
  • 10Klenoff JR,Lowliche RA,Lesnik T,et al.Mandibular and temporomandibular joint arthropathy in the differential diagnosis of the parotidmass[J].Laryngoscope,2001,111(12):2 162-2 165.

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