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滑膜炎

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Results Among 85 cases, 46 cases were lipomas, Twenty-seven cases were sebaceous cysts, 19 cases were angeiomas, 8 cases were fibroids, 5 cases were ganglionic cysts, 3 cases were neurilemmomas,1 case was dermal nevus, 1 cases was fattey necrosis, 1 case was adipositis, 1 case was foreign-body granuloma,1 case was calcified epithelioma.

结果 85例中脂肪瘤46例,皮脂腺囊肿27例,血管瘤19例,纤维瘤8例,腱鞘滑液囊肿5例,神经鞘膜瘤3例,皮肤痣、脂肪坏死、脂膜炎、异物肉芽肿、钙化上皮瘤各1例。

Current application for hip arthroscopy include management of labral tears, osteoplasty for femoroacetabular impingement, thermal capsulorrhaphy and capsular plication for subtle rotational instability and capsular laxity, lateral impact injury and chondral lesions, osteochondritis dissecans, ligamentum teres injuries, internal and external snapping hip, removal of loose bodies, synovial biopsy, subtotal synovectomy, synovial chondromatosis, infection, and certain cases of mild to moderate osteoarthritis with associated mechanical symptoms.

目前髋关节镜主要应用于盂唇撕裂的处理、股骨髋臼的撞击症的骨成形、隐匿性髋关节旋转不稳的热关节囊紧缩或关节囊皱折术,治疗软骨损伤、剥脱性骨软骨炎、圆韧带损伤、内源性或外源性弹响髋,清除游离体、滑膜活检、滑膜次全切、滑膜软骨瘤病、感染和某些伴有机械症状的轻度至中度骨性关节炎。

The pathological findings showed that ZBT could alliviate the synovial tissues inflammatory congestion, edema, remit the inflammatory cell infiltration and inhibit the proliferation of synovial cells, therefore reduce the degree of destruction of the articular cartilage and subcartilaginous bone tissue. Inhibited the disablement of the woulded limbs.

结果:止痹痛药酒能轻模型鼠关节肿胀度,对免疫注射后继发病变具有良好的治疗作用,说明该药具有抗炎免疫作用,病理学观察证实该药能减轻关节滑膜的充血水肿和炎细胞浸润、抑制滑膜细胞增生,减轻关节软骨和软骨下骨组织的破坏程度,抑制模型鼠患肢的致残。

Methods 27 cases of patellofemoral pain combined with osteoarthritis of patellofemoral joint, chondromalacia of patella, malalignment of patella, sublimation of patella, or excessive lateral pressure syndrome were treated with modified tibial tubercle advancement procedure combined with removing local inflammatory synovium Results The therapeutic effect was excellent and good in 24 out of 27 cases.

分别患有髌股关节炎、髌骨力线不正、髌骨半脱有软骨软化或髌股外侧间隔压力过高综合征等的髌股间疼痛的患者27例,采用发言奶胫骨结节势高术,结合切除局部炎变的滑膜。结果 27例患者中24例疗效优良。

Methods Nuclear β-catenin expression was detected by immunohistochemistry in 77 lesions with desmoid-type fibromatosis and 171 other spindle cell lesions, including superficial fibrmoatosis (n=18), nodular fasciitis (n=36), keloid (n=16), scar (n=10), granulation tissue (n=9), synovial sarcoma (n=38), neufibroma (n=13), solitary fibrous tumor (n=12), gastrointestinal stromal tumor (n=10), low-grade myxofibrosarcoma (n=3), low-grade fibromyxoid sarcoma (n=3), and smooth muscle tumor (n=10). In addition, the immunohistochemical expressions of ER-α, ER-β and Ki-67 were examined in all of the lesions with desmoid-type fibromatosis. The nuclear immunohistochemical staining for nuclear βcatenin and ER-β was graded as high level (≥25% of cells), low level (5%-25%) or none.

采用免疫组织化学染色法检测77例韧带样型纤维瘤病和171例其它良、恶性梭形细胞病变(包括结节性筋膜炎36例、浅部纤维瘤病11例、瘢痕疙瘩16例、增生性瘢痕10例、肉芽组织9例、滑膜肉瘤38例、神经纤维瘤13例、孤立性纤维性肿瘤12例、胃肠间质肿瘤10例、低度恶性黏液纤维肉瘤3例、低度恶性纤维黏液样肉瘤3例及平滑肌肿瘤10例)组织中β-catenin核阳性的表达,同时检测韧带样型纤维瘤病中ER-α、ER-β和Ki-67的表达。

Results Among 85 cases, 46 cases were lipomas, Twenty-seven cases were sebaceous cysts, 19 cases were angeiomas, 8 cases were fibroids, 5 cases were ganglionic cysts, 3 cases were neurilemmomas,1 case was dermal nevus, 1 cases was fattey necrosis, 1 case was adipositis, 1 case was foreign-body granuloma,1 case was calcified epithelioma.

回顾性分析85例体表良性肿块的超声表现,总结其声像图特征,所有病例均经手术病理证实。结果 85例中脂肪瘤46例,皮脂腺囊肿27例,血管瘤19例,纤维瘤8例,腱鞘滑液囊肿5例,神经鞘膜瘤3例,皮肤痣、脂肪坏死、脂膜炎、异物肉芽肿、钙化上皮瘤各1例。

Results MRI results showed that synovial hyperplasia and enhanced pannus in the wrists could be seen in all the cases, while hone marrow edema, hone erosion and joint effusion could be seen in 65, 50 and 54 cases respectively.

结果78例早期RA的MKI征象:滑膜增厚78例,血管翳强化78例,骨髓水肿65例,骨侵蚀50例,关节积液54例,腱鞘炎3例。

Results(1) Group of electroacupuncture in Shu and dense wave can significantlyreduce the degree of ankle swelling(P<0.05, P<0.01), which shows thatelectroacupuncture has obvious anti-inflammatory and repercussive roles;(2) Theresults of HE staining showed that group of electroacupuncture in Shuand dense wave can significantly reduce inflammatory cell infiltration,inhibit synovial cell proliferation, and decrease proliferation of granulationtissue in rats joints;(3) group of electroacupuncture in dense-wave can increase the pain thresholdof experimental rats (P<0.05, P<0.01), reduce the content of peripheral painmediums, such as K~+, DA and 5-HT(P<0.05, P<0.01), which shows thatelectroacupuncture has significant analgesic effect;(4) In the local lesion of joints, electroacupuncture can significantly reducethe content of IL-1β, IL-8, TNF-a, increase IL-4 content, decrease theexpression of COX-2mRNA, and significantly promote the expression ofHSP-70 protein in synovial tissues of acute gouty arthritis rats (P<0.05,P<0.01),thus restrain the occurrence of synovial tissue inflammation.

结果:(1)电针疏密波组能显著减轻踝关节肿胀度(P<0.05,P<0.01),表明电针有明显的抗炎消肿作用;(2)HE染色显示:电针疏密波组可使大鼠关节炎症细胞浸润明显减轻,滑膜细胞增生明显被抑制,肉芽组织增生明显减少;(3)电针密波组能提高实验性大鼠痛阈(P<0.05,P<0.01),降低外周疼痛介质K~+、DA、5-HT的含量(P<0.05,P<0.01),表明电针有明显的镇痛作用;(4)在病变关节局部,电针能显著降低急性痛风性关节炎大鼠滑膜组织IL-1β、IL-8、TNF-α含量(P<0.05,P<0.01),升高IL-4的含量(P<0.05,P<0.01),并降低关节滑膜内COX-2mRNA的表达(P<0.05,P<0.01),可促使急性痛风性关节炎大鼠滑膜内HSP-70蛋白表达显著增加(P<0.05,P<0.01),从而抑止滑膜组织炎症发生。

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