两种关节镜手术治疗腘窝囊肿患者的近期临床疗效观察  

Observation on short term clinical effects of two kinds of arthroscopic operation for treating popliteal cyst

作　　者：徐军 蒋青[1] 姜雪峰[2] 孙惠清[2] 孙伟[2] 张海林[2] XU Jun;JIANG Qing;JIANG Xuefeng;SUN Huiqing;SUN Wei;ZHANG Hailin(Department of Orthopedics,Gulou Clinical Medical College of Nanjing Medical University,Nanjing,Jiangsu 210008,China;;Department of Orthopedics,Jiangyin Municipal People′s Hospital,Jiangyin,Jiangsu 214400,China)

机构地区：[1]南京医科大学鼓楼临床医学院骨科,南京210008 [2]江苏省江阴市人民医院骨科,214400

出　　处：《重庆医学》2018年第25期3296-3298,共3页Chongqing medicine

摘　　要：目的探讨改良腘窝囊肿切除术及腘窝囊肿瓣膜切除内引流术治疗胭窝囊肿的临床疗效。方法选取2014年1月至2016年1月江阴市人民医院收治的腘窝囊肿患者67例,分为试验组(35例)和对照组(32例)。试验组采用改良腘窝囊肿切除术,对照组采用腘窝囊肿瓣膜切除内引流术治疗。观察术后患者膝关节功能、腘窝囊肿治疗效果、复发情况。结果试验组患者术后6、9个月膝关节功能评分及手术效果明显优于对照组,术后1年的复发率明显低于对照组,差异有统计学意义(P<0.05)。结论两种关节镜治疗方法对腘窝囊肿均有较好的近期临床疗效,关节镜下改良腘窝囊肿切除术的临床效果更佳。Objective To investigate the clinical effects of modified popliteal cyst cystectomy and popliteal cyst valve resection with internal drainage in the treatment of popliteal cyst.Methods Sixty-seven patients with popliteal cysts,in the orthopedic department of the hospital from January 2014 to January 2016 were selected and randomly divided into the experimental group(35 cases)and control group(32 cases).The experimental group adopted the modified popliteal cyst cystectomy,while the control group adopted the popliteal cyst valve resection with internal drainage.The knee joint function and the therapeutic effect and recurrence were observed.Results The knee joint function score and operation effect in the experimental group were significantly better than those in the control group 6 months and 9 months after operation,moreover,the recurrence rate at postoperative 1 year in the experimental group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The two kinds of arthroscopic treatment methods all have good short term effect for treating popliteal cysts,and the effect of arthroscopic popliteal cyst cystectomy is better.

关 键 词：腘窝囊肿 关节镜检查 临床疗效 

分 类 号：R459.9[医药卫生—治疗学]