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膝关节色素沉着绒毛结节性滑膜炎(PvNs)在低磁场MRI诊断分析

Pigmented Viilonodular Synovitis:Low MRI Evaluation

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【作者】 黄亚辉王常青李成军易朝晖谌奎芳

【Author】 HUANG Ya-hui WANG Chang-qing LI Cheng-jun YI Zhao-hui (Department of Radiology,People Hospital,Shimen,Hunan Province 415300,P.R.China)

【机构】 石门县人民医院放射科石门县人民医院放射科 湖南石门 415300湖南石门 415300

【摘要】 目的分析色素沉着绒毛结节性滑膜炎的MRI表现。方法回顾9例经病理证实的色素沉着绒毛结节性滑膜炎。结果MRI表现为:滑膜不规则,结节状,绒毛状增生呈长T1长T2信号,内有含铁血黄素沉着呈长T1短T2或长T1等T2信号,关节腔积液,邻近骨质受压缺损,周围可有硬化边,骨髓水肿改变。结论低磁场MRI既能对PVNS有定性诊断价值亦能准确的显示PVNS病变的范围和程度。

【Abstract】 Objective To anayze MRI features of pigmented villonodular synovitis.Methods MR findings of 9 patients with pathologically-proved pigmented villonodular synovitis.were retrospectively analyzed.Results The main MR sugns of pigmented villonodular synovitis included irregular and nodular synovial proliferation demonserated as low signal on T1WI and high signal on T2WI.Hemosiderin deposition in zhe thickened synovium was revealed as low signal on both T1WI and T2WI. Hydrarthrosis was seen in all cases erosion of articular carticular cartilage and bone in 4 cases.Conclusion The nodulated and villose proliferation of the synovium and hemosiderin deposition within villonodules are the typical MRI signs of PVNS on low MRI.

  • 【文献出处】 中国医疗前沿 ,China Healthcare Innovation , 编辑部邮箱 ,2007年22期
  • 【分类号】R445.2
  • 【被引频次】1
  • 【下载频次】43
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