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患者男,35岁。发现右膝关节内侧肿块10多年,近年来自觉肿块增大、增多,关节活动时有响声,近几个月来行走时有间隙性疼痛。检查:右膝关节周围可及多个大小不等肿块,触之有骨摩擦音。压痛不明显,右膝关节活动度接近正常,X线片示右膝关节周围有近百粒大小约0.2cm×0.5cm光滑密度增高阴影。在硬膜外麻醉下行关节内骨软骨瘤体清除术,并广泛切除关节滑膜。病理诊断:滑膜骨软骨瘤病。
Male patient, 35 years old. It has been found that the mass of the inside of the right knee joint has been more than 10 years. In recent years, there have been increased and increased masses from the sensational mass, and when the joints are active, there have been loud noises. There have been intermittent pains during walking in recent months. Examination: There are multiple masses around the right knee joint, which can cause bone friction. The tenderness was not obvious, and the right knee joint activity was close to normal. The X-ray film showed that there were nearly 100 particles around the right knee joint with a smooth density of about 0.2cm x 0.5cm. In the epidural anesthesia, intra-articular osteochondroma removal was performed and the joint synovium was extensively resected. Pathological diagnosis: synovial osteochondroma disease.