关节镜治疗颞下颌关节滑膜软骨瘤病1例特殊病例报告  

Clinical and radiologic finding of arthroscopic surgery for synovial chondromatosis of the temporomandibular joints: affiliatedcase report

作　　者：朱耀旻[1] 郑苍尚[1] 邓永强[1] 梁志刚[1] 

机构地区：[1]深圳大学第一附属医院(深圳市第二人民医院)口腔颌面外科,广东深圳518035

出　　处：《中国口腔颌面外科杂志》2014年第6期565-568,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：深圳市科技局立项课题(201202029)~~

摘　　要：滑膜软骨瘤病(synovial chondromatosis,SC)是一种少见的、进展缓慢的良性关节疾病,其主要临床表现为在关节滑膜组织中形成多个附着其中的软骨小瘤或间隙内的游离体,需要手术切除。SC多发生在大关节(如膝关节、肘关节等),发生于颞下颌关节者罕见。近年来,关节镜手术因创伤小、恢复快、并发症少等优点,临床应用越来越广。本文报告1例SC患者应用关节镜摘除112颗游离体,并对其临床表现、影像学变化、手术过程及病理学特点进行讨论分析。Synovial chondromatosis （SC） is a benign, chronic, and progressive arthropathy with the presence of multiple loose bodies which requires surgical removal. Its main characteristic is the formation of cartilaginous nodules that may be pedunculated and/or detach from the synovial membrane, becoming loose bodies within the joint space. More recently, arthroscopic surgery of the TMJ has increased in popularity because it is less invasive than open surgery, is associated with few complications, and requires a shorter hospital stay. It allows surgeons to diagnose and treat intra-articular conditions directly with a minimally invasive technique. We presented a new case of unilateral SC of the TMJ, including diagnostic images, treatment performed and histological analysis, arthroscopy was used to remove 112 loose bodies completely.

关 键 词：颞下颌关节 关节镜 滑膜软骨瘤病 

分 类 号：R738.3[医药卫生—肿瘤]