囊壁切除膝关节镜下后内双通道技术治疗腘窝囊肿的效果  

Effect of Excision of Cyst Wall Posterior Inner Dual Channel Technique under Knee Arthroscopy in the Treatment of Popliteal Cyst

作　　者：刘晟 罗浩 门宏亮[2] 李杰[2] 赵绍宏 金希 张利恒[2] LIU Sheng;LUO Hao;MEN Hongliang;LI Jie;ZHAO Shaohong;JIN Xi;ZHANG Liheng(Changchun University of Traditional Chinese Medicine,Changchun 130117,China;不详)

机构地区：[1]长春中医药大学,吉林长春130117 [2]吉林省人民医院

出　　处：《中外医学研究》2024年第15期48-52,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨囊壁切除膝关节镜下后内双通道技术治疗腘窝囊肿的效果。方法:选取2019年9月—2022年9月吉林省人民医院收治的218例腘窝囊肿患者,根据随机数表法将其分为对照组(n=109)和观察组(n=109)。对照组给予保留囊壁膝关节镜下内引流技术,观察组给予囊壁切除膝关节镜下后内双通道技术。比较两组围手术期指标,术前及术后6个月膝关节功能、疼痛程度及腘窝囊肿程度,并发症及复发。结果:观察组术后首次下地行走时间早于对照组,总住院时间短于对照组,差异有统计学意义(P<0.05)。术后6个月,两组Lysholm评分增加,VAS评分降低,观察组Lysholm评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。术后6个月,观察组腘窝囊肿程度分级优于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。观察组复发率低于对照组,差异有统计学意义(χ^(2)=4.317,P<0.05)。结论:囊壁切除膝关节镜下后内双通道技术可更为有效地缓解腘窝囊肿患者的囊肿程度及疼痛,优化膝关节功能,且治疗安全性有保障。Objective:To explore the effect of excision of cyst wall posterior inner dual channel technique under knee arthroscopy in the treatment of popliteal cyst.Method:A total of 218 patients with popliteal cyst admitted to Jilin Provincial People's Hospital from September 2019 to September 2022 were selected,they were divided into control group(n=109)and observation group(n=109)according to random number table method.The control group was given internal drainage technique with preserved cystis wall under knee arthroscopy,and the observation group was given excision of cyst wall posterior inner dual channel technique under knee arthroscopy.Perioperative indexes,knee function,pain degree,popliteal cyst degree before and 6 months after surgery,complications and recurrence were compared between the two groups.Result:The first postoperative walking time in the observation group was earlier than that in the control group,and the total hospitalization time was shorter than that in the control group,the differences were statistically significant(P<0.05).At 6 months after surgery,Lysholm score increased and VAS score decreased in both groups,Lysholm score in the observation group was higher than that in control group,VAS score was lower than that in the control group,the difference was statistically significant(P<0.05).At 6 months after surgery,the popliteal cyst degree in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).The recurrence rate of the observation group was lower than that of the control group,the difference was statistically significant(χ^(2)=4.317,P<0.05).Conclusion:Excision of cyst wall posterior inner dual channel technique under knee arthroscopy can effectively relieve the cyst degree and pain of popliteal cyst patients,optimize the the knee joint function,and ensure the safety of treatment.

关 键 词：腘窝囊肿 关节镜 膝关节功能 并发症 

分 类 号：R687.4[医药卫生—骨科学]