髁突骨软骨瘤并发滑膜软骨瘤病的临床治疗:附3例报道  

Treatment of osteochondroma concurrent synovial chondromatosis in condyle: report of 3 cases

作　　者：王轶雯 李凌志[2] 王丽珍[3] 陈敏洁[1] 杨驰[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔外科,上海200011 [2]复旦大学附属华山医院口腔科,上海200040 [3]上海交通大学医学院附属第九人民医院·口腔医学院口腔病理科,上海市口腔医学重点实验室,上海200011

出　　处：《中国口腔颌面外科杂志》2015年第1期78-81,共4页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金(81100824;81070848);上海市教育委员会科研创新项目(12YZ044;08DZ2271100);上海交通大学医工交叉项目(YG2013MS59)~~

摘　　要：目的 ：探讨颞下颌关节骨软骨瘤并发滑膜软骨瘤病的诊断与治疗。方法 ：回顾2001—2013年颞下颌关节骨软骨瘤和滑膜软骨瘤病患者的临床资料,最终确诊为原发性骨软骨瘤并发滑膜软骨瘤病患者共3例。对病史、临床表现、影像学检查和病理特征,以及之后3个月~5年的随访结果进行总结。结果：CT和MRI可提供精确的术前诊断,骨软骨瘤中发现游离软骨化或钙化小体,提示骨软骨瘤并发滑膜软骨瘤病可能。结论：治疗过程中需注意游离小体的存在,常提示骨软骨瘤并发滑膜软骨瘤病的可能,以免漏诊或误诊。PURPOSE： To explore the diagnosis and treatment of patients who suffered from primary osteochondroma（OC） concurrent synovial chondromatosis（SC） in temporomandibular joint（TMJ）. METHODS： Patients who suffered from OC or SC treated in our hospital during 2001 to 2013 were reviewed, among them 3 were diagnosed as primary OC concurrent SC. The medical history, clinical manifestations, radiographic examination, pathological features, and follow-up results three months to five years after surgery were collected and analyzed. RESULTS： Computed tomography（CT） or magnetic resonance imaging（MRI） can provide exact preoperative diagnosis. The presence of loose cartilage or calcification bodies in OC indicated the possibility of OC concurrent SC. CONCLUSIONS： Attention should be paid to the presence of loose bodies during treatment, which suggests the possibility of OC concurrent SC, in order to avoid misdiagnosis and mistreatment.

关 键 词：骨软骨瘤 滑膜软骨瘤病 髁突 颞下颌关节 游离小体 

分 类 号：R739.8[医药卫生—肿瘤]