• 1 蘇州大學(xué)臨床醫(yī)學(xué)院（江蘇蘇州，215021）;;
  • 2 上海交通大學(xué)附屬第六人民醫(yī)院關(guān)節(jié)鏡外科;

目的 總結(jié)關(guān)節(jié)鏡下治療髖關(guān)節(jié)滑膜軟骨瘤的方法及臨床療效。 方法2009年7月－2011年6月，對(duì)15例髖關(guān)節(jié)滑膜軟骨瘤于關(guān)節(jié)鏡下行滑膜清理和游離體摘除術(shù)。男11例，女4例；年齡21～45歲，平均33.1歲。左髖6例，右髖9例。病程12～43個(gè)月，平均23個(gè)月。主要臨床癥狀為患側(cè)髖關(guān)節(jié)活動(dòng)受限、脹痛。疼痛視覺模擬評(píng)分（VAS）為（5.8 ± 1.1）分，髖關(guān)節(jié)活動(dòng)度為（149.8 ± 27.5）°，Harris評(píng)分為（54.5 ± 13.3）分。 結(jié)果術(shù)后切口均Ⅰ期愈合?；颊呔@隨訪，隨訪時(shí)間6個(gè)月～2年，平均17.4個(gè)月。末次隨訪時(shí)VAS評(píng)分為（2.0 ± 1.2）分，髖關(guān)節(jié)活動(dòng)度為（258.3 ± 35.4）°，Harris評(píng)分為（93.0 ± 18.7）分，以上指標(biāo)均較術(shù)前顯著改善，差異有統(tǒng)計(jì)學(xué)意義（P  lt; 0.05）。隨訪期間MRI檢查示均無復(fù)發(fā)。 結(jié)論關(guān)節(jié)鏡下治療髖關(guān)節(jié)滑膜軟骨瘤創(chuàng)傷小，術(shù)后恢復(fù)快，可最大程度恢復(fù)髖關(guān)節(jié)功能和活動(dòng)度。

引用本文： 吳華,皇甫小橋. 關(guān)節(jié)鏡下治療髖關(guān)節(jié)滑膜軟骨瘤的臨床療效. 中國修復(fù)重建外科雜志, 2012, 26(8): 915-917. doi: 復(fù)制

版權(quán)信息： ?四川大學(xué)華西醫(yī)院華西期刊社《中國修復(fù)重建外科雜志》版權(quán)所有，未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

1. Lim SJ, Chung HW, Choi YL, et al. Operative treatment of primary synovial osteochondromatosis of the hip. J Bone Joint Surg (Am), 2006, 88(11): 2456-2464.
2. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
3. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. And end-result study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
4. Murphy FP, Dahlin DC, Sullivan CR, et al. Articular synovial chondromatosis. J Bone Joint Surg (Am), 1962, 44: 77-86.
5. Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg (Am), 1977, 59(6): 792-801.
6. Davis RI, Hamilton A, Biggart JD. Primary synovial chondromatosis: a clinicopatholgic review and assessment of malignant potential. Hum Pathol, 1998, 29(7): 683-688.
7. Kim SH, Hong SJ, Park JS, et al. Idiopathic synovial osteochondromatosis of the hip: radiographic and MR appearances in 15 patients. Korean J Radiol, 2002, 3(4): 254-259.
8. Ogilvie-Harris DJ, Saleh K. Generalized synovial chondromatosis of the knee: a comparison of removal of the loose bodies alone with arthroscopic synovectomy. Arthroscopy, 1994, 10(2): 166-170.
9. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
10. Kelly BT, Williams RJ 3rd, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med, 2003, 31(6): 1020-1037.
11. Boyer T, Dorfmann H. Arthroscopy in primary synovial chondromatosis of hip: description and outcome of treatment. J Bone Joint Surg (Br), 2008, 90(3): 314-318.
12. Yu YH, Chan YS, Lee MS, et al. Open and arthroscopic surgical management of primary synovial chondromatosis of the hip. Chang Gung Med J, 2011, 34 (1): 101-108.
13. Nakamura Y, Echigoya N, Toh S. Synovial osteochondromatosis of the hip treated through a surgical dislocation. J Arthroplasty, 2009, 24(7): 1433. e15-e19.
  1. 1. Lim SJ, Chung HW, Choi YL, et al. Operative treatment of primary synovial osteochondromatosis of the hip. J Bone Joint Surg (Am), 2006, 88(11): 2456-2464.
  2. 2. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
  3. 3. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. And end-result study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
  4. 4. Murphy FP, Dahlin DC, Sullivan CR, et al. Articular synovial chondromatosis. J Bone Joint Surg (Am), 1962, 44: 77-86.
  5. 5. Milgram JW. Synovial osteochondromatosis: a histopathological study of thirty cases. J Bone Joint Surg (Am), 1977, 59(6): 792-801.
  6. 6. Davis RI, Hamilton A, Biggart JD. Primary synovial chondromatosis: a clinicopatholgic review and assessment of malignant potential. Hum Pathol, 1998, 29(7): 683-688.
  7. 7. Kim SH, Hong SJ, Park JS, et al. Idiopathic synovial osteochondromatosis of the hip: radiographic and MR appearances in 15 patients. Korean J Radiol, 2002, 3(4): 254-259.
  8. 8. Ogilvie-Harris DJ, Saleh K. Generalized synovial chondromatosis of the knee: a comparison of removal of the loose bodies alone with arthroscopic synovectomy. Arthroscopy, 1994, 10(2): 166-170.
  9. 9. Krebs VE. The role of hip arthroscopy in the treatment of synovial disorders and loose bodies. Clin Orthop Relat Res, 2003, (406): 48-59.
  10. 10. Kelly BT, Williams RJ 3rd, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med, 2003, 31(6): 1020-1037.
  11. 11. Boyer T, Dorfmann H. Arthroscopy in primary synovial chondromatosis of hip: description and outcome of treatment. J Bone Joint Surg (Br), 2008, 90(3): 314-318.
  12. 12. Yu YH, Chan YS, Lee MS, et al. Open and arthroscopic surgical management of primary synovial chondromatosis of the hip. Chang Gung Med J, 2011, 34 (1): 101-108.
  13. 13. Nakamura Y, Echigoya N, Toh S. Synovial osteochondromatosis of the hip treated through a surgical dislocation. J Arthroplasty, 2009, 24(7): 1433. e15-e19.