膝关节内滑膜瘤的关节镜诊断与治疗  

Diagnosis and treatment of synovioma in the knee joint under the arthroscopy

作　　者：张羽飞[1] 王寿宇[1] 王立德[1] 张卫国[1] 

机构地区：[1]大连医科大学附属第一医院骨科,辽宁大连116011

出　　处：《中国内镜杂志》2010年第6期644-646,共3页China Journal of Endoscopy

摘　　要：目的探讨对膝关节内滑膜瘤的诊断及镜下手术方式的选择。方法选取1996年5月～2007年9月关节镜检查诊断,经病理确诊的11例膝关节内滑膜瘤病例。术前通过MRI检查诊断滑膜瘤的仅有4例,错诊为半月板损伤4例、慢性滑膜炎3例。全部病例均在关节镜下手术切除。结果全部病例均经病理确诊。随诊1～5年,术后较术前临床症状明显改善,无1例复发。疗效评定:优8例,良3例。结论关节镜下手术对诊治膝关节内滑膜瘤具有较高价值,术中完整的病灶切除及周围组织的有效刨削处理是防止滑膜瘤复发的关键。[Objective]To explore the diagnosis and treatment skills of synovioma in the knee joint under the arthroscopy. [Methods]From 1996, a total of 11 cases with synovioma in the knee joint were admitted in our hos-pital and diagnosed under arthroscopy. Of all, 2 male and 9 female patients were studied, the age was from 17 to 48 years old, average ages were 37.6 years. Only 4 cases were diagnosed accurately with MRI before operation, 4 cases were diagnosed as meniscus injury and 3 cases were diagnosed as synovial inflammation. All cases were treated un-der the arthroscopy. [Results]All cases were followed up, the average period were 1-5 years, the diagnosis was designed with pathology skills. The symptoms of all cases were improved dominantly and no recurrence occurred. 8 cases achieved excellent results and 3 cases got good results.[Conclusions]Arthroscopic diagnosis and treatment is high valuable method to deal with synovioma in the knee joint. The key points of the skill are removing the disease area and effective dealing with the surround tissues.

关 键 词：膝关节 关节镜 滑膜瘤 诊断和治疗 

分 类 号：R684.1[医药卫生—骨科学]