髋关节滑膜囊肿压迫股静脉的临床诊疗分析  

Diagnosis and surgical treatment of patients with femoral vein compression from synovial cyst of hipjoint

作　　者：叶郁青 郭学利[1] 耿远璋 张闯[1] 陈宁恒[1] 张东东 

机构地区：[1]郑州大学第一附属医院血管外科,450000

出　　处：《中华普通外科杂志》2018年第1期53-56,共4页Chinese Journal of General Surgery

摘　　要：目的探讨髋关节滑膜囊肿压迫股静脉的临床诊断及治疗。方法回顾性分析2010年3月至2017年6月郑州大学第一附属医院13例髋关节滑膜囊肿压迫股静脉病例的临床资料及随访结果。结果所有患者均接受了彩色多普勒检查。5例（38．4％）患者接受了计算机断层扫描检查。8例（61．6％）患者接受核磁共振检查。12例患者手术切除成功率100％，均完整切除囊肿。术后病理结果均证实为滑膜囊肿。术后随访时间1～62个月，中位随访时间为24个月，平均24．8个月，12例手术患者目前均未出现相应症状复发，1例仅行经皮穿刺引流患者术后1个月症状复发。结论手术切除是压迫股静脉的髋关节滑膜囊肿的首选治疗方式。Objective To investigate the diagnosis, treatment and outcomes of femoral vein compression by the synovial cyst of the hip joint. Methods A retrospective study was performed on 13 patients with femoral vein compression from the hip joint synoviaJ cyst between March 2010 and June 2017. Results All the patients received Doppler ultrasound exam. Five （ 38% ） patients received CT. Eight （61.6%） patients received MRI. Surgeries were performed and successful in 12 cases, the synovial cysts were completely removed. All postoperative pathologic results were confirmed as synovial cyst. The median follow-up time was 24 months without recurrence . One patient treated by percutaneous needle aspiration suffered from early cyst recurrence one month after the procedure. Conclusions Surgical excision is the preferred treatment method, postoperative symptoms improve significantly without cyst recurrence.

关 键 词：滑膜囊肿 髋关节 股静脉受压 下肢肿胀 

分 类 号：R654.4[医药卫生—外科学] R686.7[医药卫生—临床医学]