踝关节源性[足母]趾腱鞘囊肿(附4例报告)  

Ankle-derived hallux tendon sheath cysts

作　　者：邢耀文 陆志方 范春海 王占平 苏锴 陈玉文 Xing Yaowen;Lu Zhifang;Fan Chunhai;Wang Zhanping;Su Kai;Chen Yuwen(Department of Hand and Foot Surgery,Shangqiu Municipal Hospital,Shangqiu 476400,China;School of Health Medicine,Guangzhou Huashang University,Guangzhou 511300,China)

机构地区：[1]河南大学附属商丘市立医院创伤显微手足外科,河南商丘476400 [2]广州华商学院健康医学院,广州511300

出　　处：《中国临床解剖学杂志》2024年第3期336-340,346,共6页Chinese Journal of Clinical Anatomy

基　　金：国家自然科学基金面上项目(71773002)。

摘　　要：目的 通过4例踝关节源性[足母]趾腱鞘囊肿病例的临床和解剖发现,结合相关文献探讨踝关节源性[足母]趾腱鞘囊肿的发病机制、临床特点、治疗方法等。方法 根据临床症状、体征、影像学检查、术中造影等,证实4例均为踝关节源性[足母]趾腱鞘囊肿;均采用[足母]趾腱鞘囊肿切除+踝关节囊修补术。结合相关文献进行分析总结。结果 本组3例患者术后愈合良好,如期拆线及功能锻炼,1例患者出现足底切口感染,积极换药14 d后愈合;术后随访3~13(平均7.5)个月,随访至发稿均未复发,通过AOFAS及VAS评分提示结果优良。结论 通过本组4例及其他文献18例病例总结分析,提出的踝关节源性[足母]趾腱鞘囊肿的发病机制假说,能较好地解释该疾病的临床特征。术前、术中明确诊断,是选择手术方案的关键依据。Objective To investigate the etiology,clinical characteristics,and therapeutic approaches of ankle-derived hallux tendon sheath cysts based on the clinical and anatomical findings from four cases of ankle-derived hallux tendon sheath cysts,in conjunction with a review of relevant literature.Methods The diagnosis of ankle-derived hallux tendon sheath cysts in all four cases was confirmed through clinical symptoms,physical signs,imaging studies,and intraoperative angiography.The treatment involved the excision of the hallux tendon sheath cysts combined with ankle joint capsule repair.Analysis and summary were conducted in light of the related literature.Results In this study,three patients experienced favorable healing,timely suture removal,and functional exercises post-surgery.One patient encountered the infection at the plantar incision site,which resolved after 14 days of diligent wound care.Follow-up periods ranged from 3to 13 months(average 7.5 months),with no recurrences up to the time of manuscript submission.The outcomes,as indicated by AOFAS and VAS scores,were excellent.Conclusions The hypothesis proposed regarding the etiology of ankle-derived hallux tendon sheath cysts,based on the analysis of four cases from this study and eighteen cases from other literature,provides a plausible explanation for the clinical features of this condition.Accurate diagnosis before and during surgery is crucial for selecting the appropriate surgical strategy.

关 键 词：[足母]趾 腱鞘囊肿 踝关节 发病机制 

分 类 号：R658.3[医药卫生—外科学]