临床误诊误治2016，Vol.29Issue(3)：28-31,4.DOI:10.3969/j.issn.1002-3429.2016.03.010
膝关节滑膜结核误诊为色素沉着绒毛结节性滑膜炎原因及鉴别
Cause Analysis and Differential Diagnosis of Knee Tuberculosis Masquerading Misdiagnosed as Pigmented Villonodular Synovitis
杨接来 1胡涂 1张智长 1杨庆诚1
作者信息
- 1. 200233 上海,上海交通大学附属第六人民医院骨科
- 折叠
摘要
Abstract
Objective To investigate the clinical features and differential diagnosis of knee tuberculosis, in order to re-duce the incidence rate of misdiagnosis. Methods The clinical data of 6 tuberculosis patients being initially misdiagnosed as having pigmented villonodular synovitis were analyzed retrospectively. Results All the patients misdiagnosed as having pigmen-ted villonodular synovitis complained of knee pain, swelling and limited mobility. Of the 6 cases of synovial tuberculosis, 2 cases were of primary, 4 cases were of recurrence with misdiagnosis history in other hospitals. 5 cases received combined synovectomy of both the front and the rear approach; one case received single synovectomy of the rear approach. The clinical, imaging and pathological data confirmed the final diagnosis of synovial tuberculosis. All the misdiagnosed patients underwent postoperative an-tituberculous therapy and obtained good improvement and rehabilitation of knee function. Conclusion The features of synovial tuberculosis are not typical and the misdiagnosis can be easily made. To avoid misdiagnosis,it is essential to have a detailed medical history, complete relevant examination data and the differential diagnosis of knee tuberculosis.关键词
膝关节/滑膜/结核/误诊/滑膜炎,色素绒毛结节性Key words
Knee/Synovial/Tuberculosis/Misdiagnosis/Pigmented villonodular synovitis分类
医药卫生引用本文复制引用
杨接来,胡涂,张智长,杨庆诚..膝关节滑膜结核误诊为色素沉着绒毛结节性滑膜炎原因及鉴别[J].临床误诊误治,2016,29(3):28-31,4.
