关节镜下微创治疗与传统切开手术治疗腘窝囊肿的临床疗效比较  

Comparison of Clinical Efficacy between Minimally Invasive Arthroscopy and Conventional Open Surgery in the Treatment of Popliteal Cyst

作　　者：韩廷成[1] 祁兆建[1] 陈大志[1] 彭卫兵[2] 顾荣胜[1] 孟庆国[1] 陆华[1] 范广峰 董松林[1] 田敏[1] HAN Ting-cheng;QI Zhao-jian;CHEN Da-zhi(Department of Orthopedics and Trau-matology,Yancheng Hospital of Traditional Chinese Medicine,Nanjing University of Traditional Chinese Medicine,Yancheng,Jiangsu,224001,China)

机构地区：[1]南京中医药大学附属盐城市中医院骨伤科,江苏盐城224001 [2]河南中医药大学一附院骨伤科,河南郑州450000

出　　处：《黑龙江医学》2022年第12期1440-1443,共4页Heilongjiang Medical Journal

摘　　要：目的:比较关节镜下微创治疗和传统手术治疗腘窝囊肿的临床疗效。方法:选择2014年1月-2018年1月盐城市中医院诊断为腘窝囊肿的60例患者作为研究对象,根据治疗方法分为治疗组和对照组,每组各30例。治疗组采用关节镜下清理加囊肿口扩大引流术,对照组采用传统的开放手术,即单纯开放式的囊肿摘除术。比较两组患者视觉模拟评分法(VAS)评分、Lysholm评分、切口长度、手术时间、术中出血量、术后负压引流量、术后疼痛时间、住院时间、住院总费用、复发率及手术成功率。结果:所有患者接受6~12个月的随访。两组患者均无不良并发症发生,治疗组有1例术后6个月复发,对照组有3例术后12个月左右复发。两组患者术后VAS评分均低于术前,差异有统计学意义(t=27.445、0.000,P<0.05);治疗组术前Lysholm评分为(45.241±9.112)分,术后12个月随访为(90.113±6.701)分,高于对照组,差异有统计学意义(t=0.067、0.000,P<0.05)。治疗组切口长度、出血量、引流量、术后疼痛持续时间、住院时间低于对照组,手术时间、住院总费用高于对照组,差异均有统计学意义(t=11.302、3.962、3.000、3.000、3.412、3.440、11.250,P<0.05)。治疗组术后复发率低于对照组,成功率高于对照组,差异有统计学意义(χ^(2)=3.120、3.220,P<0.05)。结论:治疗组手术切口小、创伤小、术中可同时对关节腔内原发病灶进行有限清理,术后康复快,较开放手术治疗更彻底,疗效更显著,患者更易于接受。Objective:To compare the clinical efficacy of arthroscopic treatment and conventional surgery for popliteal cyst.Methods:A total of 60 patients diagnosed with popliteal cysts in the hospital from January 2014 to January 2018 were selected and divided into treatment group and control group according to the treatment method,with 30 cases in each group.The treatment group was treated with arthroscopic debridement and cyst mouth enlargement and drainage,while the control group was treated with traditional open surgery,namely simple open cystectomy.Visual analog scale(VAS score),Lysholm score,incision length,operation time,intraoperative blood loss,postoperative negative pressure drainage,postoperative pain time,hospitalization time,total hospitalization cost,recurrence rate,and operation success rate were compared between the two groups.Results:All patients were followed up for 6 to 12 months.There were no adverse complications in the two groups,1 case in the treatment group recurred 6months after the operation,and 3 cases in the control group recurred at about 12 months after the operation.The VAS scores of both groups after operation were lower than those before operation,and the difference was statistically significant(t=27.445,0.000,P<0.05).The Lysholm score in the preoperative treatment group was(45.241±9.112)points,and the 12-month follow-up score was(90.113±6.701)points,which were higher than those in the control group,and the differences were statistically significant(t=0.067,0.000,P<0.05).The length of incision,blood loss,drainage volume,postoperative pain duration,and hospitalization time in the treatment group were lower than those in the control group,while the operation time and total hospitalization costs were higher than those in the control group,and the differences were statistically significant(t=11.302,3.962,3.000,3.000,3.412,3.440,11.250,P<0.05).The postoperative recurrence rate of the treatment group was lower than that of the control group,and the success rate was higher than that of the contr

关 键 词：腘窝囊肿 关节镜下治疗 手术切开摘除术 

分 类 号：R686[医药卫生—骨科学]