关节镜手术治疗滑膜巨细胞瘤的疗效:1例报告。

Christos Konstantinidis, Alkisti Konstantinou, Sotiris Plakoutsis, Christos Kotsias, Vasileios Panagiotopoulos, Christos Koukos, Evangelos Anagnostou, Emilios E Pakos, Dimitrios Vardakas, Dimitrios Giotis
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引用次数: 0

摘要

滑膜巨细胞瘤是良性的,但局部侵袭性病变,主要影响滑膜关节。组织学上表现为组织细胞、多核巨细胞增生,含铁血黄素沉积突出。临床上,患者经常经历关节疼痛、肿胀和活动受限,这可能会严重影响他们的活动能力和生活质量。传统上,开放性手术切除是治疗这些肿瘤的标准方法。然而,微创技术的进步,特别是关节镜手术,已经成为有效的替代方法。关节镜检查有几个好处,包括减少术后疼痛,更快的恢复和最小的手术创伤,同时仍然允许完全切除肿瘤。本文报告一例女性患者的膝关节滑膜巨细胞瘤,强调了关节镜治疗的成功应用和良好的术后结果。通过介绍这个病例,我们的目的是强调关节镜干预在治疗这些肿瘤中越来越重要的作用,进一步支持其融入临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of Arthroscopic Surgery in the Management of Synovial Giant Cell Tumors: a Case Report.

Giant cell tumors of the synovial membrane are benign but locally aggressive lesions that primarily affect synovial joints. Histologically, they are characterized by the proliferation of histiocytes, multinucleated giant cells and prominent hemosiderin deposition. Clinically, patients often experience joint pain, swelling and restricted movement, which can significantly impact their mobility and quality of life. Traditionally, open surgical excision has been the standard approach for managing these tumors. However, advancements in minimally invasive techniques, particularly arthroscopic surgery, have emerged as effective alternatives. Arthroscopy offers several benefits, including reduced postoperative pain, quicker recovery and minimal surgical trauma, while still allowing for complete tumor removal. This article presents a case of a giant cell tumor of the synovial membrane in the knee of a female patient, highlighting the successful use of arthroscopic treatment and the favorable postoperative outcomes. By presenting this case, we aim to emphasize the growing role of arthroscopic intervention in managing these tumors, further supporting its integration into clinical practice.

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