南方医科大学学报2017，Vol.37Issue(6)：858-860,封3,4.DOI:10.3969/j.issn.1673-4254.2017.06.26
颞下颌关节滑膜软骨瘤病的临床分析
Synovial chondromatosis in the temporomandibular joint:analysis of 5 cases
摘要
Abstract
Five patients with synovial chondromatosis in the temporomandibular joint were treated in our hospital between August, 2011 and August, 2014. All the patients underwent preoperative imaging examinations for clinical diagnosis and determining the involvement of the lesions. Surgeries were performed and the lesions were confirmed as synovial chondromatosis by pathological diagnosis. The clinical manifestations, imaging features, diagnosis and treatment results were analyzed. All the 5 patients had pain in the joint region, 3 had limited mouth opening, and 3 had swelling in the joint region. X-ray film showed widening of the joint space in all the 5 cases and radiographic findings showed space-occupying lesions in the intra-articular space. Open joint surgeries was performed and completed successfully in all the cases. The postoperative imaging showed no residual lesions in the surgical area. As a rare clinical entity, synovial chondromatosis in the temporomandibular joint was poorly documented without specific clinical manifestations. The diagnosis of synovial chondromatosis relies on imaging, arthroscopic and pathological findings. Corpus liberum is an important feature of the disease occurring frequently in the joint cavity. Surgical intervention is the primary choice for treatment of synovial chondromatosis in the temporomandibular joint, in which the corpus liberum and the affected synovial membrane shall be removed after joint incision.关键词
滑膜软骨瘤病/颞下颌关节/临床表现/临床诊断/游离体和受累滑膜切除术Key words
synovial chondromatosis/temporomandibular joint/clinical manifestations/clinical diagnosis/corpus liberum/synovial membrane引用本文复制引用
贾搏,褚洪星,韩久松,孙翔,王治平,周会喜..颞下颌关节滑膜软骨瘤病的临床分析[J].南方医科大学学报,2017,37(6):858-860,封3,4.基金项目
广东省科技计划项目(2014A020212549) （2014A020212549）
