踝关节镜下切除滑膜组织150例临床病理特点

Clinical Pathological Characteristics of Ankle Joint Synovitis Tissues:Analysis of 150 Cases

目的:探讨踝关节滑膜组织的临床病理特点。方法:回顾性分析2001年11月～2012年4月在我所行踝关节镜手术切除滑膜组织的150例患者的临床病理资料,分析性别和年龄分布、创伤因素、临床表现、合并损伤、病理分型等。结果:踝关节镜下滑膜清扫术共150例,术后病理结果显示,慢性非特异性滑膜炎115例(76.7%),色素沉着绒毛结节性滑膜炎16例(10.7%),慢性滑膜炎伴含铁血黄素沉积6例(4.0%),滑膜软骨瘤病6例(4.0%),痛风性滑膜炎3例(2.0%),急性滑膜炎2例(1.3%),结核性滑膜炎1例(0.7%),滑膜血管瘤1例(0.7%)。结论:在踝关节滑膜炎的病例中,慢性非特异性滑膜炎占大多数,达76.6%,而在特异性滑膜炎的病例中,色素沉着绒毛结节性滑膜炎较多见,占48.5%。

Objective To study the clinical pathological features of synovitis tissues of the ankle From November 2001 to April 2012,arthroscopic synovectomy was performed in 150 patients with ankle synovitis in our institute. Their ~linical history including gender and age distributions, causes and mechanism of injury, clinical presentations ,the type of combined injury, and the pathological character,were investigated. Results The pathology indicated that there were 115 cases （76.7%）chronic non-specific synovitis, 16 cases （10.7%）pigmented villonodular synovitis （PVNS） ,6 cases （4.0%）chronic synovitis with hemosiderin deposition,6 cases （4.0%）synovial chondromatosis,3 cases （2.0%）gouty synovitis, 2 cases （ 1.3%）acute synovitis, 1 case （0.7%）tuberculous synovitis, and 1 case （0.7%）synovial hemangioma. Conclusions Chronic non-specific synovitis was the most common pathological type （76.6%）of synovitis ,while PVNS was more common seen in the specific synovitis（16 cases, 48.5%）.