摘要
目的：通过关节镜下手术对色素绒毛结节性滑膜炎（PVNS）的诊断、治疗进行探讨。方法：回顾23例病人进行膝关节镜的诊断及滑膜刨削，常规前外上、前内下、前外下三切口进行刨削，经过6月-9年随访（平均52月）。7例患者属局限性（结节性）PVNS，行滑膜部分切除，16例为弥漫性PVNS，行广泛滑膜刨削，均由病理证实为PVNS，5例术后行放疗，其余均未进行放疗。结果：本组病人中局限性病人未发现复发，弥漫性病人有1例复发，再次手术后治愈，本组病人无感染、僵直和神经血管损伤。结论：关节镜下手术是诊断和治疗PVNS的有效治疗手术，对弥漫性PVNS要进行广泛彻底滑膜刨削。
Objective： The purpose of the study is to critically examine the results of arthroscopic syno- vectomy in the knee affected by pigmented villonodular synovitis （PVNS）, to determine the safety and effectiveness of the procedure. Method： The study population consists of 23 patients, with an average follow-up of 52 months （minimum, 6; maximum, 108） by a retrospective case analysing. All patients underwent knee arthroscopy. The 3 standard portals were used. 7 patients were affected by localized PVNS and were subject to patial synovectomy. The remaining 16 patients presented a diffuse form of PVNS and underwent extended arthroscopic synovectomy. The diagnosis was confirmed by synovial biopsy. Result： In the group affected by the localized form of PVNS, the arthroscopic local excision resulted in a complete and persistent regression of the pathology. Among the patients affected by the diffuse form of PVNS, clinical results were better and only 1 patient was recurred. No relevant complications were encountered. In particular, no cases of infection, stiffness, or neurovascular lesions were seen. Conclusion： Arthroscopic synovectomy is an appropriate treat- ment for knee PVNS. Extended synovectomy must be performed in all cases of diffuse PVNS.
出处
《河北医学》
CAS
2007年第10期1143-1145,共3页
Hebei Medicine
