| 全关节镜下与传统手术方法治疗腘窝囊肿疗效比较 |
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投稿时间：2018-10-17
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| 作者 | Author | 单位 | Address | E-Mail |
| 袁伶俐 |
YUAN Ling-li |
蚌埠医学院第二附属医院骨科, 安徽 蚌埠 233000 |
Department of Orthopaedics, the Second Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China |
2129798218@qq.com |
| 徐文弟 |
XU Wen-di |
蚌埠医学院第二附属医院骨科, 安徽 蚌埠 233000 |
Department of Orthopaedics, the Second Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China |
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| 韩冠生 |
HAN Guan-sheng |
蚌埠医学院第二附属医院骨科, 安徽 蚌埠 233000 |
Department of Orthopaedics, the Second Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China |
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| 耿春辉 |
GENG Chun-hui |
蚌埠医学院第二附属医院骨科, 安徽 蚌埠 233000 |
Department of Orthopaedics, the Second Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China |
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| 朱勋兵 |
ZHU Xun-bing |
蚌埠医学院第二附属医院骨科, 安徽 蚌埠 233000 |
Department of Orthopaedics, the Second Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第2期，第151-155页 |
| DOI：10.3969/j.issn.1003-0034.2019.02.011 |
| 基金项目:蚌埠医学院校级课题（编号：BYKY1489） |
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中文摘要:
目的：比较全关节镜下手术与传统手术方法治疗腘窝囊肿临床疗效。
方法：2014年8月至2017年7月采用全关节镜和传统手术方法治疗腘窝囊肿各30例，关节镜组男7例，女23例；年龄（55.81±8.53）岁，病程（3.52±1.12）年；Rauschning-Lingdgren分级：Ⅰ级7例，Ⅱ级19例，Ⅲ级4例。传统手术组男5例，女25例；年龄（57.93±9.84）岁，病程（3.48±1.34）年；Rauschning-Lingdgren分级：Ⅰ级5例，Ⅱ级21例，Ⅲ级4例。术前患者有膝关节后方酸胀、活动受限等不适症状。MRI证实为腘窝囊肿。观察比较两组切口长度、手术时间、住院时间、住院总费用、Lysholm评分。
结果：关节镜组神经损伤1例，切口处均愈合良好。传统手术组切口感染1例，愈合不良2例，神经损伤1例，复发1例。60例患者均得了随访，时间6~30（13.3±6.5）个月。术后两组患者膝关节酸胀、活动不适等症状明显改善，术后两组切口长度、手术时间、住院时间、住院总费用、术后6个月Lysholm评分比较，差异均有统计学意义（P<0.05）。
结论：全关节镜下行腘窝囊肿切除术，在前路行膝关节腔探查处理病变半月板、滑囊的同时，后内侧入路行囊肿切除术，手术微创，痛苦少，术后恢复快，复发率低，并发症少，疗效明显优于传统开放手术，患者易于接受，临床疗效良好。 |
| 【关键词】腘窝囊肿 关节镜 外科手术 |
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| Comparison of the efficacy of total arthroscopy and traditional surgical treatment for the treatment of popliteal cyst |
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ABSTRACT
Objective: To compare the clinical efficacy of total arthroscopic surgery and traditional surgery for popliteal cyst.
Methods: From August 2014 to July 2017, 60 cases of popliteal cyst were treated with total arthroscopy or traditional surgery respectively. In total arthroscopy group, there were 30 patients including 7 males and 23 females with an average age of (55.81±8.53) years old; the duration of the disease was (3.52±1.12) years;according to Rauschning-Lingdgren grading, 7 cases were gradeⅠ, 19 cases were gradeⅡ, 4 cases were grade Ⅲ. In traditional surgical group, there were 30 patients including 5 males and 25 females with an average age of (57.93±9.84) years old;the duration of the disease was (3.48±1.34) years; according to Rauschning-Lingdgren grading, 5 cases were gradeⅠ, 21 cases were gradeⅡ, 4 cases were grade Ⅲ. Preoperative symptoms involved such as arthralgia and swelling after knee joint and limited mobility. MRI confirmed a popliteal cyst. Arthroscopic surgery and traditional surgical was used respectively. Incision length, operation time, average stay, total hospital cost and Lysholm score of two groups were compared.
Results: In the total arthroscopic group, 1 case suffered from nerve injury, and all cases' incision healed well. In the traditional surgical group, there was 1 case of incision infection, 2 cases of poor healing, 1 case of nerve injury and 1 case of recurrence. All 60 cases were followed up for 6 to 30 months with an average of (13.3±6.5) months. After operation, the symptoms of knee joint arthralgia and swelling, discomfort were significantly improved in the two groups. There were statistically significant differences in incision length, operation time, average stay, total hospitalcost and Lysholm score 6 months after surgery (P<0.05).
Conclusion: The total arthroscopic resection of popliteal cyst, via anterior approach to having a knee joint cavity exploration and treatment of meniscus and bursa, while combined with posteromedial approach for cyst excision would promise a minimal surgery and less pain for patients. Patients will have a rapider recovery, lower recurrence rate and less complication. The total arthroscopic resection easy to accepting for the patient and having a better clinical curative effect is obviously superior to the traditional surgery. |
| KEY WORDS Popliteal cyst Arthroscopy Surgical procedures,operative |
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| 中文格式: | 袁伶俐,徐文弟,韩冠生,耿春辉,朱勋兵.全关节镜下与传统手术方法治疗腘窝囊肿疗效比较[J].中国骨伤,2019,32(2):151~155 |
| 英文格式: | YUAN Ling-li,XU Wen-di,HAN Guan-sheng,GENG Chun-hui,ZHU Xun-bing.Comparison of the efficacy of total arthroscopy and traditional surgical treatment for the treatment of popliteal cyst[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(2):151~155 |
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