全膝关节表面置换术后腘窝囊肿的诊治进展  

Recent progress in the diagnosis and treatment of popliteal cysts after total knee arthroplasty

作　　者：李海峰[1] 阮狄克[1] 

机构地区：[1]海军总医院骨科,北京100048

出　　处：《中国骨与关节杂志》2013年第12期691-693,共3页Chinese Journal of Bone and Joint

摘　　要：全膝关节表面置换术后发生胭窝囊肿较为罕见。国外文献仅有个案报道，国内尚未见相关文献报道。作者复习相关文献，总结此种疾病的临床特点、诊断及治疗方法，现综述如下：The popliteal cysts after total knee arthroplasty （ TKA ） are rarely seen clinically, wnue a palnlUi and enlarging mass at the popliteal fossa can be frequently found, and associated with lower leg swelling and limited range of motion of the knee joint. The diagnosis can be made based on the local type-B ultrasonic inspection. The cyst excision is the main therapeutic method, and meanwhile revision TKA should be considered. The pathological examination after the operation showed there are a lot of wear particles of joint prostheses in the cyst wall and fluid. In general, the cyst recurrence will not occur after the excision. Even through this kind of lesions are infrequent, it may be suggested that the wear or loosening of joint prostheses exists. So routine follow-up is critical in patients with TKA for early detection of possible problems of joint prostheses.

关 键 词：全膝关节表面置换术 胭窝囊肿 诊治 国外文献 个案报道 临床特点 治疗方法 

分 类 号：R687.4[医药卫生—骨科学]