摘要
目的探讨膝关节内局灶型腱鞘巨细胞瘤的诊疗技术。方法1989年至2003年收治膝关节局灶型腱鞘巨细胞瘤患者12例，术前误诊半月板损伤6例，膝关节慢性滑膜炎3例，仅有3例通过MRI检查获得确诊。全部病例均采用关节镜下肿瘤完整切除术。结果9例患者获得1～10年随访，临床症状消失，膝关节活动正常，X线检查未见异常，未见复发病例。结论膝关节镜下手术治疗腱鞘巨细胞瘤是较佳方法，术中行瘤组织周围扩大切除及肿瘤取出组织通道处刨削清理，是防止肿瘤复发的关键所在。
Objective To explore the technique of diagnosis and treatment of intra-articular giant cell tumor of tendon sheath（GCTTS） in knee joint, and to evaluate its clinical results. Methods Twelve patients with GcTrs treated during 15 years were reviewed. Nine cases were misdiagnosed with meniscus injury（6 cases） and chronic synovitis（3 cases） before operation, only 3 cases were confirmed the diagnosis of GCTrS by MRI. Complete tumorectomy under arthroscope was performed on all 12 cases. Results The results of clinical and radiographic followed-up of 9 patients for 1 to 10 years after operation was satisfactory. Clinical symptoms disappeared, range of motion and X-ray findings were normal. There was no recurrent case found. Conclusions Arthroscopic removal of GCTTS is an effective treatment. Tumor wide resection and debriding the channel which tumor passed through are the key point to prevent the recurrence after operation.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2006年第4期258-259,共2页
Chinese Journal of Surgery
