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回顾性分析 10例膝关节滑膜软骨瘤病的临床病理资料 ,结果膝关节滑膜软骨瘤病临床多表现为间歇性关节疼痛、肿胀、功能受限 ,活动时关节弹响或绞锁 ;X线片显示多少不一 ,大小不等的圆形、椭圆形钙化或骨化的游离体 ;病理观察为滑膜细胞及其下结缔组织增生并化生成多数软骨结节或小而圆形的透明软骨岛 ,可见结缔组织向软骨细胞过渡现象 ,游离体由许多软骨小结节堆砌而成 ,其间有纤维组织包绕。提示临床、X线及病理相结合是滑膜软骨瘤病诊断的关键 ,手术摘除游离体、切除病变滑膜 ,可收到满意的效果。
The clinical and pathological data of 10 patients with synovial chondromatosis of knee were retrospectively analyzed. Results The patients with synovial chondromatosis of knee had clinical manifestations of intermittent joint pain, swelling, limited function, joint snapping or twisting during the operation. X Line shows the number of different sizes of round, oval calcified or ossified free body; pathological observation of synovial cells and its connective tissue proliferation and the formation of the majority of cartilage nodules or small and round transparent Cartilage island, showing the transition of connective tissue to chondrocytes, free from many cartilage nodules piled up, with fibrous tissue around them. Prompt clinical, X-ray and pathological synovial joint diagnosis is the key to synovial chondromatosis, surgical excision of free, remove the diseased synovium, can receive satisfactory results.