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[1]刘牧子,龚时国,沈鑫,等.关节镜下手术治疗成人腘窝囊肿[J].医学研究与战创伤救治(原医学研究生学报),2016,18(05):486-488,514.[doi:10.3969/j.issn.1672-271X.2016.05.011]
　LIU Mu-zi,GONG Shi-guo,SHEN Xin,et al.Arthroscopic-assisted surgery of adult popliteal cyst[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(05):486-488,514.[doi:10.3969/j.issn.1672-271X.2016.05.011]
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关节镜下手术治疗成人腘窝囊肿()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年05期
页码:
486-488,514
栏目:
出版日期:
2016-09-20

文章信息/Info

Title:
Arthroscopic-assisted surgery of adult popliteal cyst
作者:
刘牧子; 龚时国; 沈鑫; 廖建平
332000江西九江，南昌大学附属九江医院（江西九江市第一人民医院）关节外科
Author(s):
LIU Mu-zi;  GONG Shi-guo;  SHEN Xin; LIAO Jian-ping
Department of Joint Surgery, Jiujiang Hospital, Nanchang University,Jiujiang, Jiangxi 332000, China
关键词:
关节镜; 成人; 腘窝囊肿
Keywords:
arthroscopy;  adult;  popliteal cyst
分类号:
R686.7
DOI:
10.3969/j.issn.1672-271X.2016.05.011
文献标志码:
A
摘要:
目的 探讨关节镜下治疗腘窝囊肿的方法 和疗效。方法 2013年6月-2015年12月采用关节镜技术进行手术治疗成人腘窝囊肿患者28例，男11例，女17例，年龄42～69岁，平均51.2岁，27例为单侧腘窝囊肿，1例为双侧腘窝囊肿，处理关节内病变的同时，扩大腘窝囊肿和关节腔之间的通道口，清除腘窝囊肿囊壁，所有操作均在关节镜下完成，使用Rauschning和Lindgren腘窝囊肿分级方法 评估手术疗效。结果 术中均发现伴有不同类型关节内病变，以半月板损伤和骨关节炎最常见，术中、术后未出现血管、神经损伤和小腿骨筋膜室综合征，随访6～22个月，所有病例均无腘窝囊肿复发，Rauschning和Lindgren腘窝囊肿分级标准评价结果 ，术前结果 ：1级3例，2级9例，3级16例。术后结果 ：0级25例，1级3例。结论 成人腘窝囊肿的治疗，应重视关节内病变、通道口和腘窝囊肿本身这三个方面，关节镜下手术治疗成人腘窝囊肿具有创伤小、复发率低、恢复快、并发症少的优点。
Abstract:
Objective To evaluate the therapy options and effect of arthroscopic-assisted surgery of adult popliteal cyst. Methods From June 2013 to December 2015, 28 patients of adult popliteal cysts were treated under the arthroscopy, including 11 males and 17 females, average age of 51.2 years ranging from 42 to 69 years, including 27 cases unilateral popliteal cyst, 1 cases bilateral popliteal cyst. During operation, the intra-articular pathology were corrected, the connecting hole between popliteal cyst and joint space were enlarged and the pcapsule were cleared, and all operations are done under arthroscopy. The postoperative effect was evaluated according to criteria of popliteal cyst of Rauschning and Lindgren. Results The different types of intra-articular pathology were found in all patients, of which meniscus injury and osteoarthritis were the most common types. There were no complication of blood vessel, nerve and compartment syndrome during and after the surgery. No recurrence of popliteal cyst were found in all patients during the follow-up of 6-22 months. According to the guidelines of Rauschning and Lindgren, there were 3 cases of grade 1, 9 cases of grade 2, and 16 cases of grade 3 before surgery. After surgery, there were 25 cases of grade 0 and 3 cases of grade l. Conclusion The surgery of adult popliteal cyst should take into account intra-articular pathology, the connecting hole and the cyst itself. The arthroscopic-assisted surgery of adult popliteal cysts has the advantages of mini-invasion, low complication, fast-recovery and low recurrence rate.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2016-12-09