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32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。
Objective Arthroscopy was performed in
15 patients with synovial chondromatosis of the knee The diagnosis was all confirmed by
pathologic examination Methods The lesion involved the left knee in 6 cases and 7 in the right
knee,2 cases had bilateral lesions The main symptoms were pain, locking and recurrent
swelling Three patterns of distinct arthroscopic appearances were noted: superficial lesion,
deep lesion and loose body lesionArthroscopic management included removal of loose bodies,
limited synovectomy and treatment of degenerative joint disease Results Twelve patients were
followedup for an average of 32 years Good function was seen in all and there was no
recurrence Conclusion The authors emphasize that arthroscopy is helpful for the
establishment of the diagnosis and treatment Arthroscopic removal of all loose bodies and all
abnormal synovial tissue is the treatment choice for synovial chondromatosis of the knee
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1999年第5期278-280,共3页
Chinese Journal of Orthopaedics