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膝关节软骨母细胞瘤的关节镜下切除术。

Arthroscopic resection of a chondroblastoma in the knee.

作者信息

Bal B S, Jones L

机构信息

Dickson-Diveley Midwest Orthopaedic Clinic, Department of Orthopaedic Surgery, University of Missouri School of Medicine, Kansas City, USA.

出版信息

Arthroscopy. 1995 Apr;11(2):216-9. doi: 10.1016/0749-8063(95)90070-5.

DOI:10.1016/0749-8063(95)90070-5
PMID:7794436
Abstract

A 13-year-old boy with the diagnosis of osteochondritis dissecans underwent arthroscopic examination of his knee joint. At surgery a cartilaginous mass in the medial femoral condyle was identified. Biopsy samples confirmed the diagnosis of chondroblastoma, which was removed completely through the arthroscope. A second arthroscopic examination of the knee was conducted at 6 months, and showed no residual disease. Clinical and radiographic follow-up of the affected joint 5 years after surgery was satisfactory. Arthroscopic removal of an intra-articular tumor is an attractive treatment alternative, provided the lesion is accessible and there is no suggestion of a malignancy.

摘要

一名被诊断为剥脱性骨软骨炎的13岁男孩接受了膝关节镜检查。手术中在股骨内侧髁发现一个软骨肿物。活检样本确诊为成软骨细胞瘤,通过关节镜将其完全切除。6个月后对膝关节进行了第二次关节镜检查,结果显示无残留病灶。术后5年对患关节进行的临床和影像学随访结果令人满意。只要病变部位可及且无恶性迹象,关节镜下切除关节内肿瘤是一种有吸引力的治疗选择。

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