关节镜手术是否足以治疗膝关节色素绒毛结节性滑膜炎?

V. Chandru, Supreeth Nekkanti, R. Madhukesh, Sumit Sudan, M. Rishikesh
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摘要

背景与目的:色素绒毛结节性滑膜炎(PVNS)以滑膜内含铁血黄素的炎症和沉积为特征。关于PVNS的确切治疗方案尚无明确的共识。本研究旨在了解关节镜手术治疗膝关节PVNS的有效性。对象和方法:我们报告了一例21岁的男性患者,他表现为膝关节进行性疼痛弥漫性肿胀。影像学显示膝关节PVNS,经关节镜检查证实。患者在关节镜手术后接受放疗8周。这项研究是在印度Jagadguru Sri Shivarathreeshwara医院的机构审查委员会批准后提交的。结果:患者随访1年,无复发迹象。结论:关节镜联合术后放疗可有效抑制PVNS,防止其复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is arthroscopic surgery adequate to treat pigmented villonodular synovitis of the knee joint?
Background and objective: Pigmented villonodular synovitis (PVNS) is characterized by inflammation and deposition of hemosiderin in the synovium. There is no clear consensus on the exact treatment protocol of PVNS. This study aimed to understand the effectiveness of arthroscopic surgery for PVNS of the knee joint. Subject and methods: We reported a case of 21-year-old male who presented with a progressive painful diffuse swelling of the knee joint. Radiographic imaging revealed PVNS of the knee which was confirmed by arthroscopy. The patient underwent radiotherapy after arthroscopic surgery for 8 weeks. This study has been submitted after due approval from the institutional review board of Jagadguru Sri Shivarathreeshwara Hospital, India. Results: Patient was followed up for 1 year with no evidence of recurrence. Conclusion: Arthroscopy coupled with postoperative radiotherapy is useful in inhibiting PVNS and preventing its recurrence.
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