- 期刊
Pigmented Villonodular Synovitis of Joints
關節內著色結節絨毛性滑膜炎
摘要
過去曾有數家告討論在人體各大關節內所發生的著色結節絨毛性滑膜炎，此種病變發生的部位除手指關節外，以膝關節、踝關節及髖關節為最多。1975年至1985年的十一年之間，本院曾對19例關節內著色結節絨毛性滑膜炎施予治療。各例均採全滑膜切除術或合併放射線療法。根據臨床上主觀與客觀的評估，治療結果令人滿意者占71%，另有6例為再發病例。本報告的結論顯示本病變再發率的高低與治療效果是否良好，可能與病例本身在術是否已有關節內之骨骼侵犯病變有相對的關係。對於術前無骨骼侵病變之病例，施予合併皮射線治療似無必要。我們認為對於手術全滑膜切除術在實行上有困難的病例，以及關節內有骨骼侵犯病變之病例，合併放射線治療則有其必要性。
關鍵字
無資料並列摘要
During the past 11 years, 19 cases of pigmented villonodular synovitis were reated in our hospital. Total synovectomy or adjunctive radiotherapy were given. Good to satisfactory results (subjective and objective) were 71%. Recurrence and poor results were related to bony destruction or cystic lesion of the joint. Adjunctive radiotherapy is necessary for patients with poor accessibility to operation or bony lesions.
延伸閱讀
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