摘要
目的 分析两种不同手术方法治疗膝关节色素沉着绒毛结节性滑膜炎 (PVS)的疗效。方法 回顾性总结 2 3例PVS患者的治疗经过 ,其中早期 10例PVS患者采用常规切开方法 ,后期有 13例采用关节镜手术 ,观察滑膜的形态并完全切除增生的滑膜组织。比较术后病情改善和后期处理措施。结果 所有病例早期症状均改善 ,关节镜术后膝关节活动度明显优于常规切开手术。但术后 6个月～ 2年 ,均有多例复发 ,行 2次手术。结论 对于早中期PVS患者 ,关节镜手术具有创伤小、关节功能恢复快和并发症少的优点 ;对滑膜重度增生者 ,宜尽早施行开放切除手术。
Objective: To evaluate the results of therapy between routine operation and arthroscopic surgery in pigmented villonodular synovitis(PVS) of knee joint.Methods:The clinical data of 23 patients with PVS were reviewed retrospectively, 10 patients were treated early by routine operation, and later 13 cases by arthroscopic surgery, all cases were observed the synovium-morphous, thoroughly severed the hyperplastic synovium. At last, compared the recovery of local symptoms, all relapse cases were operated again. Results:The early symptoms of knee joint were improved, the movement degree of the knee by arthroscopy was more excellent than another group. Between 0.5 to 2 years, 5 cases relapsed in arthroscopic group, 3 in routine group, they all were reoperation.Conclusions:For early and medium PVS, arthroscopic surgery has less trauma, recovery quickly and less complication, but for serious PVS, encourage early open operation.
出处
《中国内镜杂志》
CSCD
2003年第12期9-11,共3页
China Journal of Endoscopy
