双膝关节滑膜脂肪瘤2例的诊治并文献复习

目的 通过报道2例滑膜脂肪瘤的诊断和治疗,避免临床误诊和误治.方法 报道2例滑膜脂肪瘤患者的临床诊治过程,通过文献回顾,总结该病的临床症状、诊断和治疗方法.结果 滑膜脂肪瘤临床表现无特异性,确诊依靠滑膜病理,治疗的主要手段是滑膜切除术.结论 滑膜脂肪瘤是非常罕见的病因不明疾病,常表现为关节肿胀和反复积液,实验室检查无特异性,膝关节为好发关节,易误诊为骨关节炎、脊柱关节炎等常见病.

Diagnosis and treatment of lipoma arborescens in both knee joints:A report of two cases and review of literature

Objective To report 2 cases of lipoma arborescens in order to avoid its misdiagnosis and mistreatment.Methods Two cases of lipoma arborescens were reported and literature on its clinical symptoms,diagnosis and treatment was reviewed.Results No specific clinical manifestations of lipoma arborescens were found.Its final diagnosis was mainly dependent on the pathology of synoovium and synovectomy was the main treatment procedure for it.Conclusion Lipoma arborescens is an extremely rare disease with unknown etiology.It is usually manifested as swelling and recurrent joint effusion.Laboratory test shows no specific findings.It usually occurs in the knee joint and is easily misdiagnosed as osteoarthritis and spondyloarthritis,etc.