{"id":31288,"date":"2024-04-24T08:01:42","date_gmt":"2024-04-24T08:01:42","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=31288"},"modified":"2024-04-24T08:01:42","modified_gmt":"2024-04-24T08:01:42","slug":"%e4%b8%80%e6%96%87%e8%af%bb%e6%87%82%ef%bc%9a%e8%89%b2%e7%b4%a0%e6%b2%89%e7%9d%80%e7%bb%92%e6%af%9b%e7%bb%93%e8%8a%82%e6%80%a7%e6%bb%91%e8%86%9c%e7%82%8e%e8%af%8a%e6%96%ad%e4%b8%8e%e6%b2%bb%e7%96%97","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=31288","title":{"rendered":"\u4e00\u6587\u8bfb\u61c2\uff1a\u8272\u7d20\u6c89\u7740\u7ed2\u6bdb\u7ed3\u8282\u6027\u6ed1\u819c\u708e\u8bca\u65ad\u4e0e\u6cbb\u7597"},"content":{"rendered":"<\/p>\n

\u8272\u7d20\u6c89\u7740\u7ed2\u6bdb\u7ed3\u8282\u6027\u6ed1\u819c\u708e\uff08Pigmented Villonodular Synovitis\uff0c\u7b80\u79f0PVNS\uff09\u662f\u4e00\u79cd\u7f55\u89c1\u4f46\u5371\u5bb3\u4e25\u91cd\u7684\u6ed1\u819c\u708e\u75c7\u6027\u75be\u75c5\u3002\u672c\u75c5\u591a\u53d1\u4e8e\u9752\u58ee\u5e74\uff0c\u53d1\u75c5\u7387\u7ea6\u4e3a1.8\u4f8b\/\u767e\u4e07\u4eba\uff0c\u5176\u4e2d80%\u4ee5\u4e0a\u7684\u75c5\u4f8b\u53d1\u751f\u572820-40\u5c81\u3002<\/p>\n

1865\u5e74\u7531Simons\u9996\u6b21\u63cf\u8ff0\u8be5\u75c5\u75c7\u4e3a\u6ed1\u819c\u9ec4\u8272\u7624\u75c5\uff0c1941\u5e74\u7531Jaffe\u548cLichtenstein\u547d\u540d\u4e3a\u8272\u7d20\u6c89\u7740\u7ed2\u6bdb\u7ed3\u8282\u6027\u6ed1\u819c\u708e\uff0c\u5e76\u4e14\u6cbf\u7528\u81f3\u4eca\u3002\u672c\u6587\u5c06\u8be6\u7ec6\u4ecb\u7ecdPVNS\u7684\u4e34\u5e8a\u8868\u73b0\u3001\u8bca\u65ad\u4ee5\u53ca\u6cbb\u7597\u65b9\u6cd5\u7b49\u3002<\/p>\n

01\u4ec0\u4e48\u662f\u8272\u7d20\u6c89\u7740\u7ed2\u6bdb\u7ed3\u8282\u6027\u6ed1\u819c\u708e\uff1f<\/p>\n

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02\u8272\u7d20\u6c89\u7740\u7ed2\u6bdb\u7ed3\u8282\u6027\u6ed1\u819c\u708e\u7684\u4e34\u5e8a\u8868\u73b0<\/p>\n

PVNS\u7684\u75c7\u72b6\u901a\u5e38\u4f1a\u9010\u6e10\u51fa\u73b0\uff0c\u4e14\u75c5\u7a0b\u8fdb\u5c55\u7f13\u6162\uff0c\u53ef\u80fd\u7ecf\u8fc7\u6570\u6708\u6216\u6570\u5e74\u624d\u88ab\u786e\u8bca\u3002\u5176\u4e3b\u8981\u4e34\u5e8a\u8868\u73b0\u5305\u62ec\uff1a<\/p>\n

1.\u5173\u8282\u80bf\u80c0\uff1a\u60a3\u5904\u5173\u8282\u51fa\u73b0\u4e0d\u89c4\u5219\u80bf\u80c0\uff0c\u6709\u65f6\u5728\u5173\u8282\u5468\u56f4\u53ef\u89e6\u6478\u5230\u5927\u5c0f\u4e0d\u7b49\uff0c\u57fa\u5e95\u7a0d\u6709\u79fb\u52a8\u7684\u786c\u97e7\u7ed3\u8282\u3002<\/p>\n

2. \u75bc\u75db\uff1aPVNS\u60a3\u8005\u53ef\u80fd\u4f1a\u611f\u5230\u5173\u8282\u75bc\u75db\uff0c\u7279\u522b\u662f\u5728\u6d3b\u52a8\u6216\u8d1f\u91cd\u65f6\u3002<\/p>\n

3.\u5173\u8282\u6d3b\u52a8\u5ea6\u51cf\u5c11\uff1a\u7531\u4e8e\u6ed1\u819c\u589e\u751f\uff0c\u5bfc\u81f4\u5173\u8282\u6d3b\u52a8\u5ea6\u53d7\u9650\uff0c\u9020\u6210\u5173\u8282\u50f5\u786c\u611f\u3002<\/p>\n

4.\u677e\u5f1b\u611f\uff1aPVNS\u5f71\u54cd\u5173\u8282\u7684\u7a33\u5b9a\u6027\uff0c\u60a3\u8005\u53ef\u80fd\u611f\u5230\u5173\u8282\u677e\u5f1b\u3002<\/p>\n

5.\u5173\u8282\u5361\u9501\uff1a\u5173\u8282\u53ef\u80fd\u4f1a\u51fa\u73b0\u5361\u9501\u73b0\u8c61\uff0c\u96be\u4ee5\u81ea\u7531\u79fb\u52a8\uff0c\u6b64\u65f6\u5e38\u4f34\u6025\u6027\u75bc\u75db[3]\u3002<\/p>\n

03\u8272\u7d20\u6c89\u7740\u7ed2\u6bdb\u7ed3\u8282\u6027\u6ed1\u819c\u708e\u7684\u8bca\u65ad<\/p>\n

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1.\u4e34\u5e8a\u75c7\u72b6\uff1a\u6839\u636e\u60a3\u8005\u7684\u75c7\u72b6\u548c\u4f53\u5f81\u8fdb\u884c\u521d\u6b65\u8bca\u65ad\u3002<\/p>\n

2.\u5f71\u50cf\u5b66\u68c0\u67e5\uff1a\u53ef\u4ee5\u901a\u8fc7X\u5c04\u7ebf\u3001CT\u626b\u63cf\u3001\u78c1\u5171\u632f\u6210\u50cf\uff08MRI\uff09\u7b49\u5f71\u50cf\u5b66\u68c0\u67e5\u8bc4\u4f30\u5173\u8282\u5185\u7684\u5f02\u5e38\u60c5\u51b5\uff0c\u660e\u786e\u75c5\u53d8\u8303\u56f4\u548c\u4e25\u91cd\u7a0b\u5ea6\u3002<\/p>\n

X\u5c04\u7ebf\u68c0\u67e5\u662fPVNS\u521d\u6b65\u8bca\u65ad\u7684\u5e38\u7528\u65b9\u6cd5\u4e4b\u4e00\u3002\u5728X\u5c04\u7ebf\u7247\u4e0a\uff0cPVNS\u5e38\u5448\u73b0\u4e3a\u5173\u8282\u5468\u56f4\u8f6f\u7ec4\u7ec7\u80bf\u80c0\uff0c\u5173\u8282\u95f4\u9699\u6a21\u7cca\uff0c\u4ee5\u53ca\u9aa8\u8d28\u589e\u751f\u6216\u5438\u6536\u3002\u7136\u800c\uff0c\u7531\u4e8ePVNS\u75c5\u7076\u7684\u6ed1\u819c\u8d77\u6e90\u548c\u5c40\u90e8\u4fb5\u8680\u6027\u589e\u957f\uff0cX\u5c04\u7ebf\u7247\u53ef\u80fd\u4e0d\u591f\u654f\u611f\uff0c\u65e0\u6cd5\u6e05\u6670\u663e\u793a\u75c5\u53d8\u7684\u8303\u56f4\u548c\u7ec6\u8282\u3002<\/p>\n<\/p>\n

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CT\u626b\u63cf\u80fd\u6e05\u6670\u5730\u663e\u793a\u75c5\u53d8\u7684\u9aa8\u8fb9\u7f18\u3002\u589e\u5f3aCT\u626b\u63cf\u4e5f\u53ef\u4ee5\u660e\u786e\u8f6f\u7ec4\u7ec7\u80bf\u5757\u3002\u53cc\u80fd\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\u540e\u7684\u5149\u8c31\u5206\u6790\u53ef\u4ee5\u5206\u6790\u80bf\u5757\u5185\u662f\u5426\u6709\u94c1\u6c89\u79ef[4]<\/sup>\uff0c\u5bf9\u8bca\u65adPVNS\u6709\u5f88\u5927\u610f\u4e49\u3002<\/p>\n<\/p>\n

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MRI\u662fPVNS\u5f71\u50cf\u5b66\u8bca\u65ad\u7684\u9996\u9009\u6280\u672f\u3002MRI\u9664\u53ef\u663e\u793a\u6ed1\u819c\u80a5\u539a\u5916\uff0c\u5728\u819d\u5173\u8282\u77e2\u72b6\u4f4dT2\u52a0\u6743\u50cf\uff0c\u5176\u5173\u8282\u8154\u5185\u53ef\u770b\u5230\u591a\u4e2a\u5706\u5f62\u4fe1\u53f7\u5f3a\u5ea6\u51cf\u4f4e\u533a\uff0c\u662f\u7531\u4e8e\u542b\u94c1\u8840\u9ec4\u7d20\u7684\u987a\u78c1\u6548\u5e94\u800c\u5f15\u8d77\u9009\u62e9\u6027T2\u7f29\u77ed\u6240\u81f4\u3002\u9acc\u4e0a\u56ca\u4e5f\u53ef\u89c1\u6570\u4e2a\u7ed3\u8282\u72b6\u4f4e\u4fe1\u53f7\u533a\u3002<\/p>\n<\/p>\n

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3.\u5173\u8282\u6db2\u68c0\u67e5\uff1a\u5173\u8282\u7a7f\u523a\u62bd\u51fa\u819d\u5173\u8282\u5185\u6db2\u4f53\u591a\u5448\u9ec4\u8910\u8272\u6216\u6697\u7ea2\u8272\uff0c\u7a00\u8584\u800c\u5bcc\u6709\u9ecf\u6027\uff0c\u542b\u7ea2\u7ec6\u80de\uff0c\u7ed3\u6838\u83cc\u53ca\u7ec6\u83cc\u57f9\u517b\u9634\u6027\u3002<\/p>\n

4.\u6ed1\u819c\u6d3b\u68c0\uff1a\u901a\u8fc7\u5173\u8282\u955c\u68c0\u67e5\u4e0b\u7684\u6ed1\u819c\u6d3b\u68c0\uff0c\u53ef\u4ee5\u786e\u8bcaPVNS\u3002\u5728\u663e\u5fae\u955c\u4e0b\uff0cPVNS\u7684\u7279\u5f81\u6027\u8868\u73b0\u662f\u7ed2\u6bdb\u72b6\u589e\u751f\u548c\u8272\u7d20\u6c89\u7740\u3002\u6ed1\u819c\u7ec6\u80de\u589e\u751f\u65e2\u53ef\u5448\u73b0\u4e3a\u7ed3\u8282\u72b6\uff0c\u4e5f\u53ef\u5448\u73b0\u4e3a\u6591\u5757\u72b6\u3002\u800c\u8272\u7d20\u6c89\u7740\u5219\u662f\u7531\u4e8e\u94c1\u87af\u5408\u7269\u7684\u6c89\u79ef\u5bfc\u81f4\u7684\uff0c\u8fd9\u4e5f\u662fPVNS\u547d\u540d\u4e2d\u201c\u8272\u7d20\u6c89\u7740\u201d\u4e00\u8bcd\u7684\u6765\u6e90\u3002\u4e3a\u4e86\u8fdb\u4e00\u6b65\u786e\u8ba4PVNS\u7684\u8bca\u65ad\uff0c\u514d\u75ab\u7ec4\u5316\u68c0\u67e5\u53ef\u4ee5\u68c0\u6d4b\u7ec6\u80de\u8868\u9762\u548c\u7ec6\u80de\u5185\u7684\u7279\u5b9a\u6807\u8bb0\u7269\u3002PVNS\u5e38\u663e\u793a\u51faCD68\u548cCD163\u9633\u6027\u8868\u8fbe\uff08\u5de8\u566c\u7ec6\u80de\u7684\u6807\u5fd7\uff09\uff0c\u4ece\u800c\u8fdb\u4e00\u6b65\u652f\u6301PVNS\u7684\u8bca\u65ad\u3002<\/p>\n<\/p>\n

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04\u8272\u7d20\u6c89\u7740\u7ed2\u6bdb\u7ed3\u8282\u6027\u6ed1\u819c\u708e\u7684\u6cbb\u7597<\/p>\n

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\u4e3b\u8981\u7684\u6cbb\u7597\u65b9\u6cd5\u5305\u62ec\uff1a<\/p>\n

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3.\u9776\u5411\u6cbb\u7597\uff1a\u76ee\u524d\u6b63\u5728\u7814\u7a76\u5c0f\u5206\u5b50\u548c\u5355\u514b\u9686\u6297\u4f53\u9776\u5411\u6cbb\u7597\u4f5c\u4e3aPVNS\u65b0\u7684\u6cbb\u7597\u65b9\u6cd5[5]<\/sup>\uff0c\u7ed3\u5408\u8bd5\u9a8c\u6cbb\u7597\u6548\u679c\u6765\u770b\uff0c\u6709\u671b\u6210\u4e3aPVNS\u9996\u9009\u6cbb\u7597\u65b9\u5f0f\u3002<\/p>\n

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[1]Roguski M, Safain M G, Zerris V A, et al. Pigmented villonodular synovitis of the thoracic spine[J]. J Clin Neurosci, 2014, 21(10):1679-1685.<\/p>\n

[2]Do Cho S, Youm Y S, Park S J, et al. Pigmented villonodular synovitis after anterior cruciate ligament reconstruction using active bioprosthetic composite artificial ligament[J]. Rheumatol Int, 2020, 40(4):657-661.<\/p>\n

[3]Auregan J C, Klouche S, Bohu Y, et al. Treatment of pigmented villonodular synovitis of the knee[J]. Arthroscopy, 2014, 30(10):1327-1341.<\/p>\n

[4]Aggarwal A, Singbal S B, Yiew D S S, et al. Pigmented Villonodular Synovitis: Novel Role of Dual-Energy CT[J]. J Clin Rheumatol, 2020, 26(5):e113-e114.<\/p>\n

[5]Bernthal N M, Ishmael C R, Burke Z D C. Management of Pigmented Villonodular Synovitis (PVNS): an Orthopedic Surgeon’s Perspective[J]. Curr Oncol Rep, 2020, 22(6):63.<\/p>\n

[6]Stephan S R, Shallop B, Lackman R, et al. Pigmented Villonodular Synovitis[J]. JBJS Reviews, 2016, 4(7).<\/p>\n

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