关节镜下全内缝合治疗成人腘窝囊肿

Arthroscopic total internal suture treatment of adult popliteal cyst

摘要:

目的 探讨腘窝囊肿的关节镜下治疗效果。方法 选择2008年12月～2012年10月在新疆医科大学第一附属医院行关节镜下全内缝合囊肿内壁治疗腘窝囊肿患者36例，采用Rauschning和Lingdgren标准对患者疗效进行评分。结果 32例获得随访，随访时间6～54个月，平均26.2个月。所有患者切口均Ⅰ期愈合，无血管、神经损伤。其中有1例患者膝关节后内侧入路愈合时间延长，无红肿，未做特殊处理，限制活动后愈合。末次随访时患者0级12例，Ⅰ级4例，Ⅱ级1例与手术前的Ⅰ级8例，Ⅱ级12例，Ⅲ级16例比较，差异有显著性（Z=-14.374，P=0.012）。结论 关节镜下治疗腘窝囊肿，具有损伤小、恢复快、复发率低的特点。

Abstract:

【Objective】 To explore the popliteal cyst of arthroscopic treatment. 【Methods】 From December 2008 to 0cotober 2012, 36 knees with popliteal fossa cyst were arthroscopically treated with internal suture, using Rauschning and lingdgren criteria of curative effect. 【Results】 32 patients were followed up for 6 to 54 months with average of 26.2 months. All patients were incision healing, no blood vessel and nerve damage, no case of recurrence. One patients of knee posteromedial approach prolonged healing time, without red, without special treatment, healing restricted activities. At the end of the follow-up patients with grade 0 in 12 cases, 4 cases in grade Ⅰ, Ⅱ and Ⅰ 1 cases before operation in 8 cases, 12 cases of grade Ⅱ, compared with 16 cases in grade Ⅲ, the difference was statistically significant (Z =-14.374, P =0.012). 【Conclusion】 Arthroscopic treatment of popliteal cyst has a little injury, rapid recovery, and the recurrence rate is low characteristics.