CAJ | 학술논문

目的探讨膝关节滑膜血管瘤的临床分型、诊断及理想治疗方法.方法收集73例膝关节滑膜血管瘤的病例资料,分析其临床表现和影像学特征,根据病变的范围不同分为局限型15例,弥漫型58例.全部病例均接受手术治疗,必要时皮瓣修复.随访3月～12年.结果治愈32例(43.84%),显效26例(35.62%),好转15例(20.54%),无效0例(0%).结论合理的影像学诊断是病变正确分类的基础,病变的正确分型能针对性地选择合适的治疗方案并可正确判断预后;手术是治疗膝关节滑膜血管瘤的有效、安全的方法.
목적 탐토슬관절활막혈관류적림상분형、진단급이상치료방법.방법 수집73례슬관절활막혈관류적병례자료,분석기림상표현화영상학특정,근거병변적범위불동분위국한형15례,미만형58례.전부병례균접수수술치료,필요시피판수복.수방3월～12년.결과 치유32례(43.84%),현효26례(35.62%),호전15례(20.54%),무효0례(0%).결론 합리적영상학진단시병변정학분류적기출,병변적정학분형능침대성지선택합괄적치료방안병가정학판단예후;수술시치료슬관절활막혈관류적유효、안전적방법.
Objective To explore the clinical typing,diagnosis and ideal treatment of synovial hemangioma of the knee joint.Methods The clinical data of 73 cases of synovial hemangioma of the knee joint were collected.The clinical manifestations and image features were analyzed.All the patients received operation with flap shift when necessary.15 cases of localized type and 58 cases of diffuse type were discovered.Results 32 patients were cured(43.84%),26 cases were valid(35.62%)and 15 cases were improved(20.54%).Conclusion The right pathological typing is based on reasonable image diagnostic course and the pathological classification contributes to the treatment selection and the judgment of prognosis.Operation acts as a safe and effective therapy for synovial hemangioma of knee joint.