在一个儿科患者的脚上染色的VILLONODULARSYNOVITIS:一个案例报告
1College of Medicine, Albaha University, Saudi Arabia.
Georgian medical news
|October 10, 2025
概括
颜色性小结膜综合炎 (PVNS) 是慢性儿科脚疼痛的一个罕见原因. 早期的核磁共振成像和积极的治疗,包括手术和放射性共振正位,对于管理这种情况和预防复发至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科瘤学 儿科瘤学
- 放射学 放射学是一门学科.
背景情况:
- 颜色性小性突炎 (PVNS) 或扩散性紧突巨细胞瘤是一种罕见的,良性的,但具有攻击性的突性疾病.
- 虽然通常影响膝盖,但脚和脚的PVNS并不常见,特别是在儿童中,往往导致诊断延迟.
- 慢性脚疼痛和胀等非特异性症状可以模仿良性疾病,使早期诊断复杂化.
研究的目的:
- 突出诊断挑战和有效管理影响脚的分散PVNS的罕见儿科病例.
- 强调先进的成像和多模式治疗策略在为儿科PVNS取得有利结果的重要性.
主要方法:
- 一份病例报告详细介绍了一名12岁的女孩,她四年来一直被误诊为慢性脚疼痛和胀.
- 诊断工作包括体检,实验室测试 (ESR),连续X射线和MRI,随后进行关节镜活检以确认PVNS.
- 治疗涉及开放的突切除术和辅助性关节内射线突整形 (RSO) 用伊-90.
主要成果:
- 最初的X射线正常,但MRI显示了暗示PVNS的特征性发现.
- 在治疗后,患者经历了显著的疼痛减轻 (VAS 6/10至0-1/10),脚运动范围正常化.
- 在12个月的随访中,没有出现复发的证据,患者实现了完全,无痛,承重的行走.
结论:
- 儿童脚的PVNS由于罕见和非特异性症状而带来诊断挑战,需要高度的临床怀疑.
- 早期的MRI对于准确诊断儿科脚PVNS至关重要.
- 完整的外科突切除和辅助性RSO的综合方法有效地降低了复发风险,并恢复了脚的分散PVNS中的功能.
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