| 髋关节色素沉着绒毛结节性滑膜炎的诊断与治疗 |
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Received:September 01, 2001 Revised:January 30, 2002
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| 作者 | Author | 单位 | Unit | E-Mail |
| 方斌 |
FANG Bin |
广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 何伟 |
HE Wei |
广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 张庆文 |
ZHANGQing-wen |
广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 刘少军 |
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广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 张德兴 |
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广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 王海彬 |
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广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 周琦石 |
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广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 樊粤光 |
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广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 袁浩 |
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广州中医药大学第一附属医院髋关节疾病医疗中心 |
Medical cure center of hip-disease, the First Affiliated Hospital of Guangzhou TCM University Guangdong Guangzhou,510405 |
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| 期刊信息：《中国骨伤》2002年15卷，第10期，第584-586页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨髋关节色素沉着绒毛结节性滑膜炎的发病特点及治疗方法。
方法:23例髋关节色素沉着绒毛结节性滑膜炎,采用髋关节前外侧改良S-P切口入路,将股骨头脱位后,直视下彻底清除病变滑膜组织,并予股骨头植入血管束。
结果: 随访6个月～11年,平均随访3.78年。所有病例术后髋关节疼痛缓解,功能改善,无复发,亦未发生股骨头坏死,11例随访4年以上者髋臼缘有骨赘增生,其中7例时有关节轻度疼痛,无1例因关节疼痛或髋关节功能不良而要求行髋关节置换。
结论: 髋关节色素沉着绒毛结节性滑膜炎有独特的临床及影像学表现;采用彻底清除滑膜及血管束植入的方法,既可防止复发又可预防股骨头坏死,是治疗该病的有效方法。 |
| [关键词]:滑膜炎 色素绒毛结节性 髋关节 外科手术 |
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| Diagnosis and treatment of pigmented villonodular synovitis of hip joint |
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Abstract:
Objective:To study the clinical symptoms and treatment of pigmented villonodular synovitis (PVS) of hip joint
Methods:Twenty three cases of hip joint PVS were treated with open synovium cleaning and vascular bundle implanting through Smith-Petersen incisions. In order to clean them totally, the femoral heads were dislocated to expose the whole synovium.
Results:Follow-up duration was 0.5-11 years,with an average of 3.78 years. All of the cases had obtained relief of pain and functional improvement. No one had relapse or necrosis of the femoral head. 11 cases with follow-up period above 4 years had got spur proliferation at the limbus of acetabulum, causing mild pain in 7 cases. No one required total hip replacement owing to joint pain or bad function.
Conclusion:The PVS of hip joint had its unique clinical and image characteristics. The operation descrived above was a feasible method on PVS of hip joint, and it was approved to prevent relapse and necrosis of the femoral head. |
| KEYWORDS:Synovitis,pigmented villonodular Hip joint Surgery,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 方斌,何伟,张庆文,刘少军,张德兴,王海彬,周琦石,樊粤光,袁浩.髋关节色素沉着绒毛结节性滑膜炎的诊断与治疗[J].中国骨伤,2002,15(10):584~586 |
| 英文格式: | FANG Bin,HE Wei,ZHANGQing-wen.Diagnosis and treatment of pigmented villonodular synovitis of hip joint[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(10):584~586 |
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