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目的对8例膝关节内滑膜血管瘤病例进行回顾性分析,探讨膝关节内滑膜血管瘤的临床特点及关节镜下治疗体会。方法回顾性分析自2008年7月至2013年1月,收治的8例膝关节滑膜血管瘤患者,男3例,女5例,年龄11~39岁,平均24.1岁,左膝5例,右膝3例。所有病例均采用关节镜下手术治疗。随访术后膝关节功能恢复情况,采用改良HSS评分进行膝关节功能评定。结果术后8例均获随访,随访12~45个月,平均29个月。术后4周时,所有患者症状明显改善或消失,较术前关节功能明显改善,术前HSS评分:38±6.9,术后4周HSS评分,97±1.7,差异有高度统计学意义(P<0.001)。术后6个月、1年、2年、4年较术后4周时关节功能无统计学意义。所有患者至末次复诊均未见复发。结论血管瘤极易漏诊误诊,术前仔细查体,结合磁共振及彩超检查有助于提高膝关节滑膜血管瘤的诊断准确率。关节镜诊治本病疗效确切,关节功能得以早期恢复。
Objective To retrospectively analyze 8 cases of synovial hemangiomas in the knee and to explore the clinical characteristics of synovial hemangiomas in the knee and the experience of arthroscopic treatment. Methods From July 2008 to January 2013, 8 patients with synovial hemangiomas of knee joint were retrospectively analyzed. There were 3 males and 5 females, aged from 11 to 39 years, with an average of 24.1 years, 5 cases of left knee, Right knee in 3 cases. All cases were treated with arthroscopic surgery. Follow-up postoperative knee functional recovery, the use of improved HSS score knee function assessment. Results All patients were followed up for 12 to 45 months (average 29 months). At 4 weeks after operation, the symptoms of all patients significantly improved or disappeared, which was significantly improved compared with preoperative joint function. The preoperative HSS score was 38 ± 6.9 and the postoperative 4 week HSS score was 97 ± 1.7. The difference was statistically significant (P <0.001). There was no significant difference in joint function between 6 months, 1 year, 2 years, 4 years after operation and 4 weeks after operation. All patients to the last referral no recurrence. Conclusions Hemangiomas are easily misdiagnosed as misdiagnosed, and they can be examined preoperatively. Combined with magnetic resonance imaging and color Doppler ultrasonography can help improve the diagnostic accuracy of synovial hemangiomas. Arthroscopic diagnosis and treatment of the exact effect of this disease, early recovery of joint function.