原发性滑膜软骨瘤病19例手术治疗及随访

目的：探讨大切口切开手术治疗原发性滑膜软骨瘤病的疗效，初步分析术后复发的原因。方法：对我院1973年5月～1999年3月间19例采用大切口手术治疗的原发性滑膜软骨瘤病患者进行回顾性分析总结，并进行随访。结果：所有患者均得到术后病理证实。本组随访到8例患者，随访时间9月～8年5个月，平均随访4年5个月。3例膝关节、1例髋关节和1例踝关节患者术后复发。所随访到患者均未见有恶变。结论：①手术应彻底切除游离体，必要时可附加切口；②对于术前X线片显示较明显的钙化游离体，如钙化点分布较分散，术中有必要进行X线监测；③对于X线片未显示钙化影的，术前应进行CT或MRI检查。

Primary synovial chondromatosis:19 cases for surgical treatment and follow-up

Objective:To study the effect of open surgery for treatment of primary synovial chondromatosis and to analysis the cause of the recurence.Methods:19 cases of primary synovial chondromatosis were retrospectively studied and followed up,which were performed with open surgery from May 1973 to March 1999.Results:All cases were confirmed by the pathological diagnosis.Only eight patients were followed up,from nine months to eight years and five months after operations(the average follow-up is four years and five months).Three patients involved in knee joints,one in hip joint and one in ankle joint were demonstrated recurrence after the operations.But no canceration was followed up.Conclusion:1.Loose bodies should be removed completely and additional incisions were needed if necessarily;2.If loose bodies were calcified obviously and distributed everywhere in joints,X-ray examinations should monitor in operations;3.If no calcified loose bodies were observed from the routine X-ray films,CT or MRI should be recommended before operations.