[1]李立群 罗鹏 范骏驰 宋建东△.“4”字体位关节镜下腘窝囊肿切除术的临床疗效[J].中国中医骨伤科杂志,2020,28(08):64-66.
点击复制

“4”字体位关节镜下腘窝囊肿切除术的临床疗效()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年08期
页码:
64-66
栏目:
临床报道
出版日期:
2020-08-10

文章信息/Info

文章编号:
1005-0205(2020)08-0064-03
作者:
李立群1 罗鹏1 范骏驰1 宋建东1△
1湖北省中西医结合医院(武汉,430015)
关键词:
腘窝囊肿 关节镜 疗效 “4”字体位
分类号:
R686.1
文献标志码:
B
摘要:
目的:探讨“4”字体位关节镜下腘窝囊肿切除术的临床疗效。方法:选取自2015年3月至2017年9月本科收治的腘窝囊肿病例共40例,其中男18例,女22例; 所有患者均为单侧膝关节患病。所有患者均采用“4”字体位行关节镜下腘窝囊肿切除,同过比较患者术前与术后1周、术后3个月及末次随访时Lysholm膝关节评分来评估患者膝关节功能恢复情况。结果:术后所有患者均随访1.5~2.5年,平均2.1年,术后1周、术后3个月及末次随访时Lysholm膝关节评分均较术前有明显改善。结论:“4”字体位关节镜下腘窝囊肿切除术操作简便、安全有效,不仅切口及创伤更小,术后恢复快,并且可处理关节内病变,复发率低,疗效确切。

参考文献/References:

[1] RAUSCHNING W,LINDGREN P G. Popliteal cysts(Baker's cysts)in adults. I. clinical and roentgenological results of operative excision[J]. Acta Orthop Scand,1979,50(5):583-591.
[2] 朱敏,丁晶,徐永清,等.腘窝囊肿形成的解剖学因素[J].中国临床解剖学杂志,2011,29(5):506-507.
[3] JAYSON M I,DIXON A S. Valvular mechanisms in juxta-articular cysts[J]. Annals of the Rheumatic Diseases,1970,29(4):415-420.
[4] RAUSCHNING W. Anatomy and function of the communication between knee joint and popliteal bursae[J]. Annals of the Rheumatic Diseases,1980,39(4):354-358.
[5] FIELD J R,FRANKLIN P D,KUSTAN J. Popliteal cysts:a reassessment using magnetic resonance imaging[J]. Skeletal Radiol,1991,20(6):433-435.
[6] JOHNSON L L,VAN DYK G E,JOHNSON C A,et al. The popliteal bursa(Baker's cyst):an arthroscopic perspective and the epidemiology[J]. Arthroscopy,1997,13(1):66-72.
[7] VAISHYA R,KRISHNAN M,VIJAY V,et al. Arthroscopic management of popliteal cyst:comments and concerns[J]. Indian Journal of Orthopaedics,2017,51(2):229.
[8] PANKAJ A,CHAHAR D,PATHROT D. Arthroscopic management of popliteal cysts[J]. Indian Journal of Orthopaedics,2016,50(2):154-158.
[9] CALVISI V. Arthroscopic patterns of the poster-medial aspect of the knee joint:classification of the gastrocnemius-semimembranosus gateway and its relationship with Baker's cyst[J]. Muscles Ligaments Tendons J,2016,6(4):492-498.
[10] KONGMALAI P,CHERNCHUJIT B. Arthroscopic treatment of popliteal cyst:a direct posterior portal by inside-out technique for Intracystic debridement[J]. Arthroscopy Techniques,2015,4(2):e143-e148.
[11] KO S H,AHN J H. Popliteal cystoscopic excisional debridement and removal of capsular fold of valvular mechanism of large recurrent popliteal cyst[J]. Arthroscopy,2004,20(1):37-44.
[12] YANG B,WANG F,LOU Y,et al. A comparison of clinical efficacy between different surgical approaches for popliteal cyst[J]. Journal of Orthopaedic Surgery and Research,2017,12(1):158.
[13] RUPP S,SEIL R,JOCHUM P,et al. Popliteal cysts in adults. Prevalence,associated intraarticular lesions,and results after arthroscopic treatment[J]. Am J Sports Med,2002,30(1):112-115.
[14] ZHOU X N,LI B,WANG J S,et al. Surgical treatment of popliteal cyst:a systematic review and meta-analysis[J]. Journal of Orthopaedic Surgery and Research,2016,11(1):22.
[15] 周才胜,梁杰,尚峥辉,等.漂浮体位下关节镜处理腘窝囊肿合并膝关节内病变[J].中华关节外科杂志:电子版,2017,11(3):298-303.

备注/Memo

备注/Memo:
(收稿日期:2019-09-11) 通信作者 E-mail:songorth@163.com
更新日期/Last Update: 2020-08-10