[1]李广峰 尹志峰 彭勇 张友忠 杜暠 曹中华 李王 刘望 王兆飞 王思成△.全关节镜下手术治疗继发性腘窝囊肿的疗效分析[J].中国中医骨伤科杂志,2022,30(03):53-56.
　LI Guangfeng YIN Zhifeng PENG Yong ZHANG Youzhong DU HaoCAO Zhonghua LI Wang LIU Wang WANG Zhaofei WANG Sicheng.Clinical Analysis of Efficacy of Surgery under Knee Arthroscopy on the Treatment of Secondary Popliteal Cyst[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(03):53-56.
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全关节镜下手术治疗继发性腘窝囊肿的疗效分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年03期
页码:
53-56
栏目:
临床报道
出版日期:
2022-03-15

文章信息/Info

Title:
Clinical Analysis of Efficacy of Surgery under Knee Arthroscopy on the Treatment of Secondary Popliteal Cyst
文章编号:
1005-0205(2022)03-0053-04
作者:
李广峰1 尹志峰1 彭勇1 张友忠1 杜暠1 曹中华1 李王1 刘望1 王兆飞1 王思成1△
1上海中冶医院(上海,200941)
Author(s):
LI Guangfeng1 YIN Zhifeng1 PENG Yong1 ZHANG Youzhong1 DU Hao1CAO Zhonghua1 LI Wang1 LIU Wang1 WANG Zhaofei1 WANG Sicheng1△
1Shanghai Zhongye Hospital, Shanghai 200941, China.
关键词:
关节镜;  内口扩大;  囊壁清理;  继发性腘窝囊肿
Keywords:
arthroscopy;  internal drainage;  cystectomy;  secondary popliteal cyst
分类号:
R686.1
文献标志码:
B
摘要:
目的:探讨全关节镜下膝关节清理、内口扩大及囊壁清理治疗继发性腘窝囊肿的临床疗效。方法:选取2017年1月至 2020年12月收治单侧腘窝囊肿患者85例,其中男45例,女40例; 年龄36～65岁,平均(46.2±5.8)岁。记录手术并发症情况及术前、术后1周、3个月、随访末期VAS评分、Rauschning-Lindgren分级、Lysholm 评分及MRI检查情况,评估临床疗效。结果:所有患者均获随访,时间9～24个月,平均16.5个月; 未出现切口感染、皮肤坏死、血管损伤、神经损伤、血栓形成等并发症,其中2例复发(复发率为2.4%)。术后VAS评分较术前明显降低,Lysholm评分较术前明显升高。术后3个月Rauschning-Lindgren分级为0级52例,1级28例,2 级5例,恢复率为94.1%。结论:全关节镜下膝关节清理、内口扩大及囊壁清理术治疗继发性腘窝囊肿创伤小、康复快、复发率低,临床疗效满意。
Abstract:
Objective:To investigate the clinical efficacy of knee debridement, internal mouth enlargement and cyst wall clearance under arthroscopic on the treatment of secondary popliteal cyst. Methods:85 patients with unilateral popliteal cyst treated from January 2017 to December 2020 were selected, including 45 males and 40 females, aged from 36 to 65 years old with(46.2±5.8)years old on average. The surgical complications, VAS score,Rauschning-Lindgren grade, Lysholm score and MRI results before and 1 week after operation, 3 months after operation and at the end of follow-up were recorded to evaluate the clinical efficacy. Results:All patients were followed up for 9 to 24 months, with 16.5 months on average. There were no complications such as incision infection, skin necrosis, vascular injury, nerve injury and thrombosis. Recurrence occurred in two of all patients, and the recurrence rate was 2.4%. Postoperative VAS score was significantly lower than that before operation, and Lysholm score was significantly higher than that before operation. Three months after operation, there were 52 cases of Rauschning-Lindgren grade 0, 28 cases of grade 1 and 5 cases of grade 2. The recovery rate was 94.1%. Conclusion:The knee debridement, internal mouth enlargement and cyst wall clearance under arthroscopic are effective methods on the treatment of secondary popliteal cyst.

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备注/Memo

备注/Memo:
基金项目:中国金属学会冶金安全与健康分会健康卫生科研项目(jkws202047)
△通信作者 E-mail:464716070@qq.com
更新日期/Last Update: 1900-01-01