双膝关节滑膜脂肪瘤2 例的诊治并文献复习.pdf

军医进修学院学报 J Chinese PLA Postgrad Med Sch Feb 2012，33（2） 185 病例报告 双膝关节滑膜脂肪瘤2 例的诊治并文献复习 1 2 1 1 杨春花 ，刘爱军 ，朱　剑 ，黄　烽 1 2 解放军总医院，北京　100853　　 风湿科 ； 病理科 摘要：目的 通过报道 2 例滑膜脂肪瘤的诊断和治疗，避免临床误诊和误治。方法 报道 2 例滑膜脂肪瘤患者的临床诊治过程， 通过文献回顾，总结该病的临床症状、诊断和治疗方法。结果 滑膜脂肪瘤临床表现无特异性，确诊依靠滑膜病理，治疗 的主要手段是滑膜切除术。结论 滑膜脂肪瘤是非常罕见的病因不明疾病，常表现为关节肿胀和反复积液，实验室检查无 特异性，膝关节为好发关节，易误诊为骨关节炎、脊柱关节炎等常见病。 关键词：膝关节 ；滑膜脂肪瘤 ；诊断 ；治疗 中图分类号：R 684　　文献标识码：A　　文章编号：1005-1139(2012)02-0185-03　　DOI: CNKI:11-3275/R0906.002 网络出版时间：2011-08-22 09:06:58　　　网络出版地址：/kcms/detail/11.3275.R0906.002.html Diagnosis and treatment of lipoma arborescens in both knee joints: A report of two cases and review of literature 1 2 1 1 YANG Chun-hua , LIU Ai-jun , ZHU Jian , HUANG Feng 1Department of Rheumatology; 2Department of Pathology　Chinese PLA General Hospital, Beijing 100853, China Corresponding author: HUANG Feng. Email: fhuang@301 Abstract: Objective To report 2 cases of lipoma arborescens in order to avoid its misdiagnosis and mistreatment. Methods Two cases of lipoma arborescens were reported and literature on its clinical symptoms, diagnosis and treatment was reviewed. Results No specific clinical manifestations of lipoma arborescens were found. Its final diagnosis was mainly dependent on the pathology of synoovium and synovectomy was the main treatment procedure for it. Conclusion Lipoma arborescens is an extremely rare disease with unknown etiology. It is usually manifested as swelling and recurrent joint effusion. Laboratory test shows no specific findings. It usually occurs in the knee joint and is easily misdiagnosed as osteoarthritis and spondyloarthritis, etc. Key words: knee joint; lipoma arborescens; diagnosis; therapy 为进一步诊治收住院。入院