腕部腱鞘巨细胞瘤诊治体会  

Diagnosis and treatment of giant cell tumor of tendinous sheath in wrist

作　　者：陆斌[1] 薛花[1] 崔庆元[1] 何仿[1] 

机构地区：[1]马鞍山市人民医院骨科,安徽马鞍山243000

出　　处：《中国骨伤》2011年第12期1030-1031,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨腕部腱鞘巨细胞瘤的诊断方法及手术治疗体会。方法:2002年9月至2009年10月对8例术前MRI初步诊断为腕部腱鞘巨细胞瘤的患者进行手术治疗,其中男5例,女3例;年龄16～65岁,平均41岁;病程10～72个月,平均31个月。结果:所有患者术后病理均证实为腱鞘巨细胞瘤,随访时间5～48个月,平均34.2个月。1例复发,3例正中神经损伤症状术后明显缓解。所有患者术后腕关节功能得到明显改善。结论:腱鞘巨细胞瘤的MRI表现特点有助于术前的鉴别诊断,术中彻底切除肿块有助于预防肿瘤复发。Objective：To investigate diagnostic methods and surgical effect for the treatment of giant cell tumor of tendinous sheath in wrist.Methods：From September 2002 to October 2009,8 patients with preoperative diagnosis as giant cell tumor of tendinous sheath based on MRI were treated surgically.There were 5 males and 3 females,ranging in age from 16 to 65 years,with an average of 41 years.The disease course ranged from 10 to 72 months with an average of 31 months.Results：The diagnosis of all the patients was confirmed as giant cell tumor of tendinous sheath by postoperative pathology.All the patients were followed up,and the during ranged from 5 to 48 months （averaged,34.2 months）.One patient recurred and 3 patients got obvious relief of symptoms of median nerve injury.All the patients had significant improvement in wrist function after surgery.Conclusion：Preoperative MRI is helpful for differential diagnosis of giant cell tumor of tendinous sheath.Thorough removal of tumor is very important in prevention of recurrence.

关 键 词：巨细胞瘤 腱 磁共振成像 诊断 

分 类 号：R738[医药卫生—肿瘤]