高频超声在膝关节滑膜脂肪瘤病中的临床应用价值  

The clinical value of high frequency ultrasonography for synovial lipomatosis of the knee joint

作　　者：田晓芳[1] 宓士军[1] 马秀清[1] 周广军[1] 隆全利[1] 孙敬宇[1] 郝娟娟[1] TIAN Xiao-fang;MI Shi-jun;MA Xiu-qing;ZHOU Guang-jun;LONG Quan-li;SUN Jing-yu;HAO Juan-juan(The Third Department of Orthopaedics,Fengrun People s Hospitalof Tangshan,Tangshan 064000,China)

机构地区：[1]唐山市丰润区人民医院骨三科,河北唐山064000

出　　处：《东南大学学报（医学版）》2018年第2期325-327,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的:探讨高频超声在膝关节滑膜脂肪瘤病的诊断和治疗中的临床意义。方法:用高频超声诊断50例膝关节滑膜脂肪瘤病,与MRI对比并行膝关节镜探查,取活组织进行病理检查。结果:膝关节滑膜脂肪瘤病的声像图表现为滑膜增厚、回声增强,呈树枝、手指、绒毛状、球形漂浮于关节腔中,压之可变形,CDFI无血流,为鉴别诊断提供了可靠、简单的检查方法。能明确滑膜绒毛突起的聚集部位,为关节镜滑膜脂肪瘤的微创治疗提供有效的指导。结论:高频超声在膝关节滑膜脂肪瘤病的诊断和治疗中有重要临床应用价值,应予广泛开展。Objective:To discuss the clinical significance of diagnosing and treating synovial lipomatosis of knee joint with high-frequency ultrasonography.Methods:50 cases with synovial lipomatosis of knee joint were diagnosed by high frequency ultrasonography and the results were compared with the diagnosis of MRI,and the arthroscopic probe and living tissue pathological examination were done.Results:The ultrasonogram of synovial lipomatosis of knee joint showed that synovial membrane became thick and ultrasonic echo was enhanced and finger or other shapes they assumed floated in the articular cavity which can be transformed with pressure.In addition,CDFI showed no blood flow signal,which provided reliable and simple inspection method for differential diagnosis.It can ensure the gathering position of synovial villi to provide effective guidance for using miniinvasive surgery to treat synovial lipomatosis with arthroscopy.Conclusion:High frequency ultrasonography has a significant clinical application value in diagnosing and treating synovial lipomatosis of knee joint and it should be widely developed.

关 键 词：高频超声 膝关节 脂肪瘤病 滑膜 关节镜 

分 类 号：R686.7[医药卫生—骨科学] R445.1[医药卫生—外科学]