Wide-awake技术下腕关节镜切除复发性儿童腕部腱鞘囊肿的临床疗效观察  

Clinical effect of arthroscopic excision in Wide-awake technology of recurrent children's wrist ganglions

作　　者：周烽 盛伟 Zhou Feng;Sheng Wei(Department of Orthopedics,Huangshi Love&Health Hospital Affiliated of Hubei Polytechnic University,Huangshi Hubei,435000,China)

机构地区：[1]湖北理工学院附属黄石爱康医院骨科,湖北黄石435000

出　　处：《生物骨科材料与临床研究》2025年第1期28-31,共4页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的观察Wide-awake技术(完全清醒的无止血带局部麻醉技术)下腕关节镜切除复发性儿童腕部腱鞘囊肿的临床疗效。方法回顾性分析2017年1月至2022年6月湖北理工学院附属黄石爱康医院骨科37例儿童复发性腕部腱鞘囊肿的病例资料,在Wide-awake技术下采用腕关节镜手术切除,均为单侧病变。评价术后患者满意度、复发率、并发症情况及Cooney腕功能评定。结果术后随访8~15个月,平均13.3个月。随访期间无复发病例,患儿腕部外观正常,无明显疤痕,满意度高,未出现任何手术并发症,根据Cooney腕功能评定标准,37例患者术后评分为(93±5)分,较术前明显改善,差异有统计学意义(P<0.05)。结论基于Wide-awake技术的腕关节镜治疗复发性儿童腕部腱鞘囊肿是一种安全、创伤小、恢复快、并发症少、复发率低、切口美观的微创方法。Objective To investigate the clinical effect of arthroscopic excision using Wide-awake technology(wide awake local anesthesia no tourniquet,WALANT)of recurrent children's wrist ganglions.Methods A retrospective analysis was conducted on the case data of 37 children with recurrent wrist ganglions in Huangshi Love&Health Hospital Affiliated of Hubei Polytechnic University between January 2017 and June 2022.All unilateral lesions underwent arthroscopic excision using the wide-awake technique.Postoperative patient satisfaction,recurrence rate,complications and Cooney wrist function assessment were evaluated.Results The follow-up period ranged from 8 to 15 months,with an average of 13.3 months.There were no recurrences cases during the follow-up,the children exhibited normal wrist appearance,with no visible scars,high satisfaction,and no surgical complications.According to the Cooney wrist function evaluation criteria,the postoperative scores of the 37 patients were(93±5)points,showing a significant improvement compared to the preoperative scores,with statistically significant differences(P<0.05).Conclusion Wrist arthroscopy based on Wide-awake technology is a safe,minimally invasive,rapid recovery,less complications,low recurrence rate and beautiful incision for the treatment of recurrent children's wrist ganglions.

关 键 词：关节镜 Wide-awake技术 复发性 儿童 腕部腱鞘囊肿 

分 类 号：R686.1[医药卫生—骨科学] R687.2[医药卫生—外科学]