膝关节镜下内引流术联合囊壁全切术微创治疗腘窝囊肿患者的效果观察  

Observation on the Effect of Knee Arthroscopic Internal Drainage Surgery Combined with Capsulotomy in the Minimally Invasive Treatment of Popliteal Cyst

作　　者：王小鹏 刘鹏 胡林峰 WANG Xiaopeng;LIU Peng;HU Linfeng(Department of Orthopedics,Xinyu People's Hospital,Xinyu 338000,China)

机构地区：[1]江西省新余市人民医院骨外一科,江西新余338000

出　　处：《中国伤残医学》2024年第16期32-34,42,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：新余市科技计划项目(20233090861)。

摘　　要：目的:观察膝关节镜下内引流术联合囊壁全切术微创治疗腘窝囊肿患者的效果。方法:选取2022年1月—2023年12月新余市人民医院收治的68例腘窝囊肿患者为研究对象,以随机数字表法将其分为对照组和研究组,各34例。对照组采用传统切开手术治疗,研究组采用膝关节镜下内引流术联合囊壁全切术微创治疗。比较两组手术疗效、手术相关指标、并发症发生情况。结果:研究组手术疗效优于对照组,差异有统计学意义(P<0.05)。研究组切口长度、术后疼痛时间均短于对照组,出血量、引流量均少于对照组,手术时间长于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为2.94%,低于对照组的23.53%,差异有统计学意义(P<0.05)。结论:膝关节镜下内引流术联合囊壁全切术微创治疗腘窝囊肿患者的效果显著,可改善其手术相关指标,安全性较高,但手术时间较长,临床还需根据患者实际情况选择治疗方法。Objective:To observe the effect of knee arthroscopic internal drainage surgery combined with capsulotomy in the minimally invasive treatment of popliteal cyst.Methods:A total of 68 patients with popliteal cyst admitted to Xinyu People’s Hospital from January 2022 to December 2023 were selected as the research objects,and were divided into a control group and a study group by random number table method,with 34 cases each.The control group was treated with traditional incision surgery,and the study group was treated with arthroscopic internal drainage combined with capsulotomy.The operative effect,operative related indexes and complications were compared between the two groups.Results:The surgical effect of the study group was better than that of the control group,the difference was statistically significant(P<0.05).The incision length and postoperative pain time of the study group were shorter than those of the control group,the blood loss and drainage volume were less than those of the control group,and the operation time was longer,with statistical significance(P<0.05).The incidence of complications in the study group was 2.94%,which was lower than 23.53%in the control group,the difference was statistically significant(P<0.05).Conclusion:Knee arthroscopic internal drainage surgery combined with capsulotomy has a significant effect on the minimally invasive treatment of popliteal cyst patients,which can improve the surgery-related indicators with high safety,but the operation time is longer,and the treatment method should be selected according to the actual situation of patients.

关 键 词：腘窝囊肿 膝关节镜下内引流式 囊壁全切术 并发症 

分 类 号：R687[医药卫生—骨科学]