X线与MRI对色素沉着绒毛结节性滑膜炎诊断价值.docVIP

X线与MRI对色素沉着绒毛结节性滑膜炎诊断价值 　　【摘要】 目的 探讨X线与MRI对色素沉着绒毛结节性滑膜炎(PVNS)的诊断价值。方法 回顾性分析11例经手术病理证实的PVNS患者资料,7例发生于膝关节,4例发生于髋关节,分析其X线及MRI表现。结果 11例患者的X线表现为关节囊肿胀、关节周围软组织肿块、关节边缘骨质缺损、关节面下囊性透亮区。MRI表现:弥漫型9例,结节型2例,表现为滑膜不同程度增厚、关节内软组织结节,T1WI及T2WI均呈低信号,FFE序列呈极低信号,并有不同程度的关节腔积液,5例发生骨或软骨的侵蚀。结论 PVNS的X线表现无特征性,对本病的诊断仅能起到提示作用;MRI表现则有一定的特征性,对PVNS有定性诊断价值。? 　　【关键词】 滑膜炎;色素沉着绒毛结节性;X线;磁共振成像 　　X-ray and MRI evaluation of pigmented villonodular synovitis 　　YANG Xiao-yan,HU Yuan-ming,WEI Wei,et al.Department of Radiology,Guangzhou CMG University Shenzhen Hospital.,Shenzhen 518000, China? 　　【Abstract】 Objective To evaluate the X-ray and magnetic resonance imaging(MRI) features of pigmented villonodular synovitis(PVNS).Methods 11 cases with PVNS proved by operation were studied retrospectivelv,7 in knee,4 in hip.Results X-ray showed swollen joint capsule, high density mass around the joint, bone erosion in the margin area of the joint, and showed clear area in the joint surface of the bone. The manifestations of MRI features:of 11 patients with PVNS, 9 were diffused and 2 were focalized. All of diffused cases showed different degree of diffuse hyperplasia of synovium or intra-articular soft-tissue nodule.with low signals of T1WI and T2WI and lower signals of FFE. And showed different degree of intra-articular effusion.5 showed bone or cartilage erosion Conclusion X-ray features of PNVS have no specific characteristics but MRI have. MRI can provide valuable evidences for the diognosis of PVNS. ? 　　【Key words】 Synovitis;Pigmented villonodular;Radiography;Magnetic resonance imaging 　　 　　作者单位:518000广州中医药大学深圳附属医院 　　 　　色素沉着绒毛结节性滑膜炎(pigmented villonodular synovitis, PVNS)是一种以滑膜、腱鞘呈粘液绒毛样及结节状为主要表现的良性关节病,其病因不明。本文回顾性分析本院自2002年1月以来经手术病理证实的PVNS 病例11例,分析其影像学表现,现将结果报告如下?? 　　1 资料与方法 　　1.1 研究对象 2005年1月至2010年4月在我院行X线及MRI检查发现PVNS的患者11例,男6例,女5例,年龄19~57岁,平均年龄35岁,病程4月~5年不等,其中发生于膝关节7例,髋关节4例;9例表现为弥漫型,2例表现为结节型。临床表现为进行性关节肿胀、疼痛并活动受限,5例有关节外伤史。 　　1.2 仪器设备 数字化X光机。PHILIPS公司1.5T超导型磁共振扫描仪,使用关节表面线圈。 　　1.3 操作方法 X线片:膝关节常规拍摄正侧位片,