全膝关节置换术联合滑膜炎颗粒治疗膝关节色素沉着绒毛结节滑膜炎1例  

A case report of total knee arthroplasty combined with synovitis granules in the treatment of pigmented villonodular synovitis of knee joint

作　　者：傅智平[1] 张坤鹏 FU Zhiping;ZHANG Kunpeng(DepartmentⅠ,Department of Joint Orthopedics,Hospital of Traditional Chinese Medicine in Wuhu City,Anhui,Wuhu 242100,China)

机构地区：[1]安徽省芜湖市中医医院关节骨科一科,安徽芜湖242100

出　　处：《中国医药科学》2025年第2期177-180,共4页China Medicine And Pharmacy

基　　金：安徽省高等学校科学研究项目(2022AH052637)。

摘　　要：膝关节色素沉着绒毛结节滑膜炎(PVNS)是指一种关节滑膜的异常增生,其治疗手段有限,本文讨论芜湖市中医医院收治的典型膝关节PVNS确诊病例1例,运用全膝关节置换术(TKA)联合滑膜炎颗粒口服治疗膝关节PVNS,并结合患者的临床表现、病理特点、治疗过程及术后随访情况评估临床疗效,患者术后随访3个月未见复发,患者膝关节功能良好,因此得出结论TKA联合滑膜炎颗粒治疗膝关节PVNS临床疗效可靠,可提高疗效减少复发率,对后期治疗膝关节PVNS的临床工作有所帮助。Pigmented villonodular synovitis(PVNS)is an abnormal hyperplasia of synovium of joint,and its treatment means are limited.A typical confirmed case of PVNS of knee joint admitted to and treated in Hospital of Traditional Chinese Medicine in Wuhu City is discussed in this paper.Total knee arthroplasty(TKA)combined with oral synovitis granules to treat knee PVNS is used,and the clinical efficacy according to the patient’s clinical manifestations is evaluated.And patient’s clinical manifestations,pathological characteristics,treatment process and postoperative follow-up are evaluated.After 3 months’follow-up,the patient showed no signs of relapse,and the knee joint function was good.Therefore,it was concluded that TKA combined with synovitis granules had a reliable clinical efficacy on PVNS of knee joint,which could improve the therapeutic efficacy and reduce the relapse rate.Affirming its therapeutic efficacy is helpful to the clinical work of treating PVNS of knee joint in the later stage.

关 键 词：色素沉着绒毛结节性 滑膜炎 全膝关节置换 滑膜炎颗粒 

分 类 号：R687.4[医药卫生—骨科学]