[滑膜软骨瘤病：13例临床分析]
[Synovial chondromatosis: clinical analysis of 13 cases].
作者信息
Bai L, Wang H, Zhang Y, Fu Q
机构信息
Department of Orthopaedics, Second Clinical College, China Medical University, Shenyang 110003.
出版信息
Zhonghua Wai Ke Za Zhi. 1999 Jun;37(6):364-5.
OBJECTIVE
To study the diagnosis and treatment of synovial chondromatosis.
METHOD
13 cases of synovial chondromatosis were studied by pathological observation, X-ray examination and clinical research.
RESULTS
Intermittent joint pain, swelling, limited motion, joint snapping or rubbing were found, sometimes with joint interlocking and movable mass in the joint. X-ray showed fewer loose bodies than the actual ones in the joint. Rough surface, congestion and thickening of synovial membrane at the lesion were found during the operation. Proliferation of blood vessels, accumulation of lymphocytes and proliferation of synovial superficial cells and fibrous tissue were observed under the microscope. The loose body consisted of many tubercles microscopically.
CONCLUSIONS
The combination of clinical observation, X-ray examination and pathological diagnosis is essential to the diagnosis of synovial chondromatosis. Excision of loose body and synovial membrane may lead to satisfying results.
目的
研究滑膜软骨瘤病的诊断与治疗。
方法
通过病理观察、X线检查及临床研究对13例滑膜软骨瘤病患者进行研究。
结果
发现有间歇性关节疼痛、肿胀、活动受限、关节弹响或摩擦，有时伴有关节交锁及关节内可活动肿块。X线显示关节内游离体数量比实际的少。手术中发现病变处滑膜表面粗糙、充血、增厚。显微镜下可见血管增生、淋巴细胞聚集以及滑膜表层细胞和纤维组织增生。游离体在显微镜下由许多小结节组成。
结论
临床观察、X线检查及病理诊断相结合对滑膜软骨瘤病的诊断至关重要。切除游离体及滑膜可能会取得满意疗效。
Zotero 插件