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膝关节滑膜血管瘤(6例报告及国内文献总结)

Synovial Hemangioma of the Knee:Report of 6 cases and a Collective Review of the Chinese Literatures

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【作者】 王荣茂余英豪王隐村钟国荣

【Author】 Wang Rongmao, Yi Yinghao, Wang Juenchen, Zhong Gourong. Fuzhou General Hospital of PLA, Fuzhou 350001.

【机构】 福建省人民医院骨科南京军区福州总医院骨科南京军区福州总医院骨科 福州 350004

【摘要】 膝关节滑膜血管瘤国内已有17例报告,加上本组6例,共23例。其中男12例,女11例;年龄20个月~36岁,局限型9例,弥漫型14例。21例拍片7例见软组织肿块影,1例伴静脉石。23例均行手术治疗,3例加硬化剂注射,1例加放疗。4例术后复发,经再次手术治愈。2例以转移皮瓣修复皮肤软组织缺损。本组6例显微镜下均见多少不等的含铁血黄素在增殖的滑膜内沉积,3例误诊为色素绒毛结节性滑膜炎,其中1例尚可见组织细胞和多核巨细胞,揭示二病并存或密切相关。

【Abstract】 Only 17 cases of synovial hemangioma of the knee were reportd in China to date. This paper aids 6 cases. Among all of the 23 cases, 12 were males and 11 females. The age of the patients ranged from 20 monthes to 36 years. There were 9 cases of localized and 14 diffused lesions. 7 cases of masses of soft tissues and 1 venous stones were seen by radiography, All of the 23 cases were surgically excised, and 3 cases combined with injections of sclerosant and 1 with radiotherapy. 23 cases were followed-up for 1-10 years respectively. 4 cases recurred and were cured surgically again. 3 of the 6 cases in our series were primarily considered histologically as PVNS because of their microscopic hemasiderin deposition. Histocytes and multinucleated giant cells were seen under microscope in 1 case. That might suggest a co-existence or relationship between synovial hemangioma and PVNS.

  • 【文献出处】 中国矫形外科杂志 ,The Orthopedic Journal of China , 编辑部邮箱 ,1997年02期
  • 【分类号】R738
  • 【被引频次】1
  • 【下载频次】62
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