膝关节色素沉着绒毛结节性滑膜炎的MRI与病理对照研究.docVIP

精品论文 参考文献 膝关节色素沉着绒毛结节性滑膜炎的MRI与病理对照研究 黑龙江省肇东市第一医院 黑龙江肇东 151100 摘要：目的：观察膝关节色素沉着绒毛结节性滑膜炎的MRI的临床表现，记录其病理特征进行分析研究。方法：回顾性分析30例经手术或关节镜及病理证实的膝关节色素沉着绒毛结节性滑膜炎，采用MRI进行检查，总结分析其临床症状表现。结果：30例膝关节色素沉着绒毛结节性滑膜炎患者均为弥漫性，主要临床症状为滑膜厚呈结节状或绒毛状，存在大量含铁血黄素沉着。MRI表现均有滑膜增厚、关节内软组织结节，T1WI呈等或低信号，T2WI呈低信号：均有不同程度关节积液现象；关节内脂肪垫受侵14例，半月板及交叉韧带受累10例；软骨或骨受侵6例。结论：MRI对膝关节色素沉着绒毛结节性滑膜炎有明显表现，能够显示关节内外组织结构的受侵犯范围及程度，MRI对膝关节色素沉着绒毛结节性滑膜炎的诊断真实可靠，是理想的诊断方法。 关键词：膝关节色素沉着绒毛结节性滑膜炎；MRI；PVNS；病理特征 [Abstract] Objective：To observe the knee joint pigmented pigmentation villonodular synovitis MRI clinical manifestations and record the pathological features were analyzed. Methods：a retrospective analysis of 30 cases by surgery or arthroscopy and pathology of the knee joint pigmented villonodular synovitis，examined by MRI，to summarize and analyse the clinical symptoms. Results：30 cases of knee joint pigmented calm villonodular synovitis of the knee are diffuse and the main clinical symptoms of synovial thickness was nodular or villous，there are a lot of hemosiderin deposition. MRI showed synovial thickening，joint soft tissue nodules，isointensity or low signal on T1WI and T2WI showed low signal：had different degrees of joint effusion phenomenon；intraarticular fat pad invasion in 14 cases，10 cases of meniscus and cruciate ligament involvement；cartilage or bone invasion in 6 cases. Conclusion：MRI of knee joint pigmented calm villonodular synovitis have obvious，shows that the joint and structure of the scope and extent of infringement and MRI of knee joint pigmented calm diagnosis of pigmented villonodular synovitis of true and reliable，is ideal method for detection of. [Key words] knee joint pigmented villonodular synovitis；MRI；PVNS；Pathology PVNS，即色素沉着绒毛结节性滑膜炎，是滑膜的一种增生性病变，经常表现为无痛性软组织肿块，常位于手指和足趾处，也表现在其他关节及腱鞘上，发病时关节无痛肿胀或轻度疼痛伴有肿胀，偶有出现关节疼痛和肿胀、绞锁症状。主要分为弥漫型和结节型，分别常见于手部及膝关节。早期术前诊断符合率低，本病病因不明，病程较长，X线及CT诊断易出现错误判断，主要原因是诊断器材不够精确【1】。近些年伴随医药科学的发展，影像技术越来越多的被应用于医学界，其中MRI影像诊断疾病效果极为显著。现就我院2014年至2015年间收治的30例确诊为膝关节色素沉着绒毛结节性滑膜炎的患者，临床表现及诊断效