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中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 637 -639. doi: 10.3877/cma.j.issn.1674-134X.2021.05.019

个案报道

关节镜联合切开手术治疗腕关节米粒体滑囊炎1例
祁志强1, 李晓东2, 张宝祥3, 王昀4, 贾金鹏5, 张强3,()   
  1. 1. 046000 长治市第二人民医院关节外科I病区;100853 北京,解放军总医院骨科六病区
    2. 046000 长治市第二人民医院关节外科I病区
    3. 100853 北京,解放军总医院骨科六病区
    4. 100853 北京,解放军总医院骨科病理科
    5. 100853 北京,解放军总医院骨科五病区
  • 收稿日期:2020-11-09 出版日期:2021-10-01
  • 通信作者: 张强
  • 基金资助:
    北京市科技新星与领军人才培养(Z161100004916137)

Arthroscope combined with open incision in treatment of wrist joint synovitis with rice-body formation

Zhiqiang Qi1, Xiaodong Li2, Baoxiang Zhang3   

  • Received:2020-11-09 Published:2021-10-01
引用本文:

祁志强, 李晓东, 张宝祥, 王昀, 贾金鹏, 张强. 关节镜联合切开手术治疗腕关节米粒体滑囊炎1例[J]. 中华关节外科杂志(电子版), 2021, 15(05): 637-639.

Zhiqiang Qi, Xiaodong Li, Baoxiang Zhang. Arthroscope combined with open incision in treatment of wrist joint synovitis with rice-body formation[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(05): 637-639.

图1 本病例术前MRI、术中情况及病理图片。图A术前MRI显示腱鞘内多发粟粒样结节影;图B关节镜下可见手掌部屈肌腱鞘内米粒体(游离);图C关节镜下可见腱鞘囊肿内的米粒体;图D~E取出的米粒体;图F腕部切口(长约4 cm)及手掌部关节镜切口(两个均长约0.5 cm);图G米粒体病理示米粒体核心是质地紧致的胶原蛋白,被纤维蛋白样物质包裹,周围混杂有慢性炎性细胞
图2 右腕关节手术前后MRI图。图A~B为术前腕关节MRI矢状位和冠状位T2加权像,示大量米粒体;图C~D为术后腕关节MRI矢状位和冠状位T2加权像,示米粒体被清除(腕关节术前与术后同一层面MRI对比可见术前腱鞘囊肿和滑液中的米粒体消失)
图3 术后3个月随访腕关节及各手指功能。图A~B示各手指伸屈功能正常;图C~D示腕关节掌屈背伸功能恢复良好
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