| 腕部腱鞘巨细胞瘤诊治体会 |
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Received:June 24, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陆斌 |
LU Bin |
马鞍山市人民医院骨科，安徽 马鞍山 243000 |
Department of Orthopaedics, the People's Hospital of Maanshan City, Maanshan 243000, Anhui, China |
lubin19730806@163.com |
| 薛花 |
XUE Hua |
马鞍山市人民医院骨科，安徽 马鞍山 243000 |
Department of Orthopaedics, the People's Hospital of Maanshan City, Maanshan 243000, Anhui, China |
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| 崔庆元 |
CUI Qing-yuan |
马鞍山市人民医院骨科，安徽 马鞍山 243000 |
Department of Orthopaedics, the People's Hospital of Maanshan City, Maanshan 243000, Anhui, China |
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| 何仿 |
HE Fang |
马鞍山市人民医院骨科，安徽 马鞍山 243000 |
Department of Orthopaedics, the People's Hospital of Maanshan City, Maanshan 243000, Anhui, China |
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| 期刊信息：《中国骨伤》2011年24卷，第12期，第1030-1031页 |
| DOI：10.3969/j.issn.1003-0034.2011.12.016 |
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目的：探讨腕部腱鞘巨细胞瘤的诊断方法及手术治疗体会。
方法：2002年9月至2009年10月对8例术前MRI初步诊断为腕部腱鞘巨细胞瘤的患者进行手术治疗，其中男5例，女3例；年龄16～65岁，平均41岁；病程10～72个月，平均31个月。
结果：所有患者术后病理均证实为腱鞘巨细胞瘤，随访时间5～48个月，平均34.2个月。1例复发，3例正中神经损伤症状术后明显缓解。所有患者术后腕关节功能得到明显改善。
结论：腱鞘巨细胞瘤的MRI表现特点有助于术前的鉴别诊断，术中彻底切除肿块有助于预防肿瘤复发。 |
| [关键词]:巨细胞瘤 腱 磁共振成像 诊断 |
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| Diagnosis and treatment of giant cell tumor of tendinous sheath in wrist |
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Abstract:
Objective: To investigate diagnostic methods and surgical effect for the treatment of giant cell tumor of tendinous sheath in wrist.
Methods: From September 2002 to October 2009,8 patients with preoperative diagnosis as giant cell tumor of tendinous sheath based on MRI were treated surgically. There were 5 males and 3 females,ranging in age from 16 to 65 years,with an average of 41 years. The disease course ranged from 10 to 72 months with an average of 31 months.
Results: The diagnosis of all the patients was confirmed as giant cell tumor of tendinous sheath by postoperative pathology. All the patients were followed up,and the during ranged from 5 to 48 months (averaged,34.2 months). One patient recurred and 3 patients got obvious relief of symptoms of median nerve injury. All the patients had significant improvement in wrist function after surgery.
Conclusion: Preoperative MRI is helpful for differential diagnosis of giant cell tumor of tendinous sheath. Thorough removal of tumor is very important in prevention of recurrence. |
| KEYWORDS:Giant cell tumors Tendons Magnetic resonance imaging Diagnosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陆斌,薛花,崔庆元,何仿.腕部腱鞘巨细胞瘤诊治体会[J].中国骨伤,2011,24(12):1030~1031 |
| 英文格式: | LU Bin,XUE Hua,CUI Qing-yuan,HE Fang.Diagnosis and treatment of giant cell tumor of tendinous sheath in wrist[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(12):1030~1031 |
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