CAJ | 학술논문

目的探讨膝关节色素沉着绒毛结节性滑膜炎的手术治疗策略与临床疗效.方法 1998年1月-2008年12月,对收治疗的28例膝关节色素沉着绒毛结节性滑膜炎患者根据患膝病变的范围及程度分别实行不同的手术治疗方法,术后给予积极的放疗及康复治疗,分析术后疗效及各种手术治疗方法的特点.结果术后随访2～11年,行膝关节镜下滑膜切除术16例,1例复发,再次行膝关节镜手术治疗.行膝关节切开滑膜切除术7例,1例复发,行全膝关节表面置换术6例,未见复发,末次随访6例患者假体位置良好,无松动.结论膝关节色素沉着绒毛结节性滑膜炎由于关节滑膜受累范围及骨软骨破坏程度不同,治疗的关键在于手术方法的正确选择,结合术后放疗及康复治疗可以减少术后复发率及最大程度恢复和保持膝关节功能.
목적 탐토슬관절색소침착융모결절성활막염적수술치료책략여림상료효.방법 1998년1월-2008년12월,대수치료적28례슬관절색소침착융모결절성활막염환자근거환슬병변적범위급정도분별실행불동적수술치료방법,술후급여적겁적방료급강복치료,분석술후료효급각충수술치료방법적특점.결과 술후수방2～11년,행슬관절경하활막절제술16례,1례복발,재차행슬관절경수술치료.행슬관절절개활막절제술7례,1례복발,행전슬관절표면치환술6례,미견복발,말차수방6례환자가체위치량호,무송동.결론 슬관절색소침착융모결절성활막염유우관절활막수루범위급골연골파배정도불동,치료적관건재우수술방법적정학선택,결합술후방료급강복치료가이감소술후복발솔급최대정도회복화보지슬관절공능.
Objective To study the surgical strategies and clinical efficacy of the treatment on Pigmented Villonodular Synovitis of the knee. Methods January 1998 - December 2008, 28 patients with pigmented villonodular synovitis of the knee were performed with different surgical treatment methods according to the knee scope and extent of the lesions combine with the postoperative positively radiation therapy and rehabilitation. The characteristics of surgical treatment and the postoperative efficacy were analyzed. Results The patients were followed up 2.0 to 11.0 years;among which, 16 cases underwent Arthroscopic synovectomy, and 1 case recurred during follow-up , who was performed knee Arthroscopic synovectomy again. 7 cases underwent open knee joint synovectomy and 1 case recurred. 6cases were performed total knee replacement; there were no case showed recurrence and the prosthesis of the 6 patients were in good position and no loose cases occurred on the last follow up. Conclusion As the scope of synovium and bone and cartilage destruction involved in varying degrees, the key surgical treatment is to made a correct choice, and combined with postoperative radiotherapy and rehabilitation can reduce the recurrence rate and maximum restore and maintain the knee.