色素沉着绒毛结节性滑膜炎

PIGMENTED VILLONODULAR SYNOVITIS

①目的 探讨色素沉着绒毛结节性滑膜炎的临床病理、影像学特征及诊断、治疗。②方法 对经病理证实的 2 1例色素沉着绒毛结节性滑膜炎病人的临床资料进行回顾性分析。③结果 本组 2 1例 ,中青年占6 5 % ,病变位于膝关节 9例 ,病前有外伤史 7例 ,以受累关节肿胀积液、骨内类圆形破坏为其特征。 14例行滑膜切除。④结论 色素沉着绒毛结节性滑膜炎的诊断应强调临床、病理及影像学三结合原则 ,确诊有赖于病理 ,滑膜切除为主要治疗方法。

Objective\ To explore the clinical pathology, X ray features, diagnosis and treatment of pigmented villonodular synovitis(PVS).\ Methods\ The clinical data of 21 patients with PVS confirmed pathologically were analyzed retrospectively. Results\ Young and middle aged patients accounted for 65% in this group of 21 cases. The knee was involved in 9 cases. A past history of trauma was found in 7 cases. The knees involved were swelling and shown accumulation of fluid. The lesion was characterized by a round bone destruction. A synovectomy was performed for 14 cases.\ Conclusion\ The principle of a combination of clinical manifestations , pathology and X ray findings should be emphasized in the diagnosis. The confirmation depends on the pathology. The major therapy is synovectomy.