色素沉着绒毛结节性滑膜炎12例报告

PIGMENTED VILLONODULAR SYNOVITIS WITH 12 CASES REPORT

本文报告12例色素沉着绒毛结节性滑膜炎,其中膝关节10例,髋、肘各1例。以青壮年为主。临床主要为膝关节肿痛,病程长,渐加重,多有外伤史,关节功能多无受限。关节穿刺多抽出血性液。X线早期仅有软组织肿胀阴影,个别可见结节样阴影。文中重点讨论了其X线特征及治疗。强调以早期滑膜切除为主,术中尽可能不损伤运动系统肌腱,术后早期功能锻练。

In this paper 12 cases of pigmented villonodular synovitis are reported, among which are 10 cases of knee joints, The clinic manifestations are mainly knee joint swelling pain, the function of the joints usually having no limitation. The liquor of blood colour or brown yellow colour is commonly pumped out through arthrocentesis. The shadow of soft tissue swelling could only be seen by X-ray. The X-ray examination 3 and therapy so on are mainly discussed in this paper. From therapy we stress the priority of completely synovium resection at early stage. During the operation one should do his best not to damage the patient's sport system muscle tendon. After the operation early dirigation is necessary.