膝关节镜下内引流技术与后内双通道技术治疗腘窝囊肿远期疗效对比分析  

Comparative analysis of long-term efficacy of endoscopic internal drainage and posterior internal double channel in the treatment of popliteal cyst

作　　者：黄立 朱慧君 Huang Li;Zhu Huijun(The People's Hospital of Ruijin City,Ruijin,Jiangxi 342500)

机构地区：[1]瑞金市人民医院,江西瑞金342500

出　　处：《基层医学论坛》2022年第31期14-16,共3页The Medical Forum

基　　金：赣州市卫生健康委员会市级科研计划项目(2020-2-143)。

摘　　要：目的 比较膝关节镜下内引流技术、膝关节镜下后内双通道技术对腘窝囊肿的远期治疗效果。方法选取64例腘窝囊肿患者,随机分成A组与B组各32例,A组采取保留囊壁的膝关节镜下内引流技术治疗,B组采取切除囊壁的膝关节镜下后内双通道技术治疗。术后随访2年,对2组Rauschning-Lindgren分级、Lysholm评分与复发率进行比较。结果 2组术前及术后12个月、24个月的Rauschning-Lindgren分级差异无统计学意义(P>0.05);术后1个月与6个月B组均显著优于A组(P<0.05)。2组术前及术后12个月、24个月的Lysholm评分差异无统计学意义(P>0.05);术后1个月与6个月B组均显著高于A组(P<0.05)。A组术后复发率为21.88%,明显高于B组的3.13%(P<0.05)。结论 针对腘窝囊肿应用膝关节经下后内双通道技术,可早期改善患者症状及提高膝关节功能,且术后复发率低。Objective To compare the long-term therapeutic effects of the endoscopic internal drainage of the knee joint and the double-channel technique of the knee joint through the inferior posterior and internal channels on the popliteal cyst.Methods A total of 64 patients with popliteal cyst were selected and randomly divided into group A(32 cases)and group B(32cases). Group A was treated with endoscopic internal drainage of the knee with cyst wall preserved,while group B was treated with endoscopic posterior and internal double channel technique with cyst wall removed. After 2 years of follow-up,the rauschening-Lindgren grade,Lysholm score and recurrence rate were compared between the two groups. Results There was no significant difference in Rauschning Lindgren grade between the two groups before operation and 12 and 24 months after operation(P>0.05);One month and six months after operation,group B was significantly better than group A(P< 0.05). There w as no significant difference in Lysholm score between the two groups before operation and 12 and 24 months after operation(P>0.05);One month and six months after operation,group B was significantly higher than group A(P<0.05). The postoperative recurrence rate in group A was 21.88%,which was significantly higher than 3.13% in group B(P<0.05).Conclusion For popliteal cyst,the application of the knee joint through the inferior posterior and internal double channel technology can improve the symptoms of patients and improve the knee joint function,and the postoperative recurrence rate is low.

关 键 词：腘窝囊肿 膝关节镜下内引流技术 膝关节镜下后内双通道技术 复发率 

分 类 号：R686.7[医药卫生—骨科学]