| 腘窝滑膜囊肿 |
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Received:November 08, 1999 Revised:March 23, 2000
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王强 |
WANG Qiang |
沈铁吉林中心医院,吉林吉林132001 |
Jilin Railway Center Hospital Jilin,Jilin,132001 |
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| 孙建华 |
SUN Jian hua |
沈铁吉林中心医院,吉林吉林132001 |
Jilin Railway Center Hospital Jilin,Jilin,132001 |
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| 郭荣光 |
GUO Rong guang |
沈铁吉林中心医院,吉林吉林132001 |
Jilin Railway Center Hospital Jilin,Jilin,132001 |
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| 杨占辉 |
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沈铁吉林中心医院,吉林吉林132001 |
Jilin Railway Center Hospital Jilin,Jilin,132001 |
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| 期刊信息：《中国骨伤》2001年14卷，第3期，第143-144页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的;提出窝滑膜囊肿的命名及分型,探讨手术适应证及治疗方法。
方法;自1992至1998年手术治疗190例窝滑膜囊肿患者,分别采取术前检查,术中所见进一步了解发病部位及囊肿是否与膝关节相通而进行临床分型。应用半膜肌或腓肠肌腱膜瓣修补交通型和混合型囊肿150例。单纯彻底切除滑囊治疗单纯型囊肿40例。
结果;有125例随防0.5～5年,用自行拟订的疗效评定标准,优100例,良好20例,好转5例。术前按窝滑膜囊肿部位,分为内侧型及外侧型；按术中情况分为单纯型、交通型及混合型。
结论;早期采取半膜肌或腓肠肌腱膜瓣修补和单纯彻底切除滑囊的手术方法治疗不同类型滑膜囊肿,无一例复发,是最佳治疗方法。 |
| [关键词]:滑膜囊肿 分类法 囊肿 |
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| Synovial cyst of popliteal fossa |
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Abstract:
Objective;To study the nomenclature and classifica tion of synovial cyst of popliteal fossa,to explore its treatment method and ind ication of operation.
Methods;190 patients with synovial cyst of popli teal fossa were treated with operation.T he disease was classificed according to pathogenic position and whether the cyst was communicating with the knee joint;t h ese were decided by preoperative observa tion in combination with intraoperative findings.150 cases of communicating type and mixed type were repaired by semimem branous muscle or aponeurosis of gestroc nemius.40 cases of simple type were trea ted with simply resection of the synovia l bursa.
Results;The follow up period of 120 cases ranged from 0.5 year to 5 years.Excellent resu lts were obtained in 100 cases,good in 2 0 and fair in 5.Before operation,the dis ease was classified as medial and latera l types according to the location of the lesion.The intraoperative findings indi cated that the disease could be classifi ed as simple type,communicating type and mixed type.
Conclusion;Repairing the cyst after resection with semimembranous muscle or aponeurosis of gestrocnemius and simple resection of t he synovial membrane completely are the best methods for the treatment of differ ent types of popliteal cysts. |
| KEYWORDS:Synovial cyst Classification Popliteal c yst |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王强,孙建华,郭荣光,杨占辉.腘窝滑膜囊肿[J].中国骨伤,2001,14(3):143~144 |
| 英文格式: | WANG Qiang,SUN Jian hua,GUO Rong guang.Synovial cyst of popliteal fossa[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(3):143~144 |
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