| 周烽,盛伟.超声引导下腕关节镜微创治疗腕部腱鞘囊肿的临床疗效.骨科,2026,17(4): 350-353. |
| 超声引导下腕关节镜微创治疗腕部腱鞘囊肿的临床疗效 |
| Clinical observation on minimally invasive treatment of wrist ganglion cyst with wrist arthroscopy under ultrasound guidance |
| 投稿时间：2025-08-03 |
| DOI：10.3969/j.issn.1674-8573.2026.04.008 |
| 中文关键词: 腕关节镜 超声引导 微创 腱鞘囊肿 |
| 英文关键词: Wrist arthroscopy Ultrasound guidance Minimally invasive Ganglion cyst |
| 基金项目: |
|
| 摘要点击次数: 255 |
| 全文下载次数: 69 |
| 中文摘要: |
| 目的 探讨超声引导下腕关节镜微创治疗腕部腱鞘囊肿的临床疗效。方法 回顾性分析2018年1月至2024年1月我院骨科收治的172例腕部腱鞘囊肿患者，按治疗方式不同分为两组，观察组（87例）在超声引导下行关节镜微创手术，精准定位并切除囊肿蒂部后行关节囊“开窗”引流，对照组（85例）采用常规关节镜手术切除。两组术后均予绷带加压包扎。记录两组手术时间、术后并发症、复发率，采用Cooney腕关节功能评分评估患者术前及术后6个月腕关节功能。结果 观察组手术时间较对照组[（32.5±8.2） min vs. （45.3±10.1） min，P<0.05]明显缩短。术后随访6~18个月，观察组复发1例（1.15%），对照组复发5例（5.88%）；观察组术后未发生并发症，对照组出现3例（3.53%）暂时性感觉异常。术后6个月观察组Cooney评分显著高于对照组[（91.2±6.1）分 vs. （85.2±7.3）分，P<0.05）]。结论 超声引导下腕关节镜治疗较传统术式具有更精准的囊肿定位能力，能显著缩短手术时间、减少术中创伤，且复发率和并发症发生率低，并在改善腕关节功能方面优势明显，是更具临床推广价值的微创治疗方案。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy of ultrasound-guided arthroscopic minimally invasive surgery for wrist ganglion cysts. Methods A retrospective analysis was performed on 172 patients with wrist ganglion cysts treated in the Department of Orthopedics of our hospital from January 2018 to January 2024. The patients were divided into two groups according to the surgical technique: the observation group (87 cases) underwent ultrasound-guided arthroscopic minimally invasive surgery, with precise localization and resection of the cyst pedicle followed by joint capsule fenestration for drainage, while the control group (85 cases) received conventional arthroscopic resection. Both groups received compression bandaging postoperatively. The operative time, postoperative complications, recurrence rate were recorded. Wrist function was assessed using the Cooney wrist function score preoperatively and at 6 months postoperatively. Results The operative time in the observation group was significantly shorter than that in the control group [(32.5±8.2) min vs. (45.3±10.1) min, P<0.05]. During the follow-up period of 6 to 18 months, the recurrence rate in the observation group was 1 case (1.15%), and 5 cases (5.88%) in the control group. No complications occurred in the observation group, while 3 cases (3.53%) of transient sensory abnormalities were observed in the control group. At 6 months postoperatively, the Cooney score in the observation group was significantly higher than that in the control group (91.2±6.1 vs. 85.2±7.3, P<0.05). Conclusion Ultrasound-guided wrist arthroscopy offers superior precision in cyst localization compared with conventional surgery, significantly shortens operative time, and reduces intraoperative trauma, with low rates of recurrence and complications, and demonstrates notable advantages in improving wrist function, making it a minimally invasive treatment strategy with greater clinical value for wider application. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
