CAJ | 학술논문

目的：探讨关节镜治疗膝关节弥漫型色素沉着绒毛结节性滑膜炎的短期临床疗效。方法自2007年1月～2011年1月对7例弥漫型色素沉着绒毛结节性滑膜炎患者进行了全滑膜切除术，并进行了2～5年的临床随访。结果7例患者均完全获得随访，平均随访时间32月。6例患者术后症状、功能得以明显改善，1例患者术后2月出现复发，再次进行关节镜下全滑膜切除术，术后联合局部放疗，截止末次随访为止，未见复发。 Ly－sholm关节功能评分由术前（41．21±12．32）分提高到（83．25±5．10）分（P＜0．05），较术前关节功能评分具有显著性差异。结论关节镜治疗弥漫型色素沉着绒毛结节性滑膜炎损伤少、恢复快，复发率低，短期临床疗效满意。
목적：탐토관절경치료슬관절미만형색소침착융모결절성활막염적단기림상료효。방법자2007년1월～2011년1월대7례미만형색소침착융모결절성활막염환자진행료전활막절제술，병진행료2～5년적림상수방。결과7례환자균완전획득수방，평균수방시간32월。6례환자술후증상、공능득이명현개선，1례환자술후2월출현복발，재차진행관절경하전활막절제술，술후연합국부방료，절지말차수방위지，미견복발。 Ly－sholm관절공능평분유술전（41．21±12．32）분제고도（83．25±5．10）분（P＜0．05），교술전관절공능평분구유현저성차이。결론관절경치료미만형색소침착융모결절성활막염손상소、회복쾌，복발솔저，단기림상료효만의。
Objective To evaluate the short-term outcome of arthroscopic synovectomy for difused pigmented vil-lonodular synovitis of knee joint.Methods 7 cases suffered difused difused pigmented villonodular synovitis of knee joint were performed arthroscopic total synovectomy from January 2007 to from January 2011, The patients were followed up for 2 to 5 years.Results All cases were followed up for an average time of 38 months.6 cases get satisfactory clincal outcome, Only 1 case relapsed at 3 months postoperatively and was cured by reoperation of arthroscopic synovectomy combined with local chemoradiotherapy postoperatively.At the last followed-up,the IKDC Subjective Knee Score im-proved from 41.21 ±12.32 to 83.25 ±5.10, There was significant statistical difference after knee arthroscope operation in Lysholm scale ( P<0.05).Conclusions Arthroseopic total synovectomy is an effective method for PVNS with lower recurrence rate in short-term,and the procedure is mini-invasive and easy to restore the knee function.