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关节镜下不同术式治疗腘窝囊肿疗效比较

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目的 探讨关节镜下不同术式治疗腘窝囊肿的临床疗效。方法 选择2020年1月至2022年4月本院腘窝囊肿56例,随机分为观察组与对照组,各28例。对照组采取关节镜下腘窝囊肿内引流术,观察组采在此基础上联合囊壁切除术,比较两组患者手术相关指标以及Rauschning-Lindgren分级,同时评估其手术前后视觉模拟评分(VAS)、生活质量量表(QOL-74)、膝关节评分量表(Lysholm)及患者复发情况。结果 两组切口长度、术中出血量比较差异无统计学意义(P>0。05),与对照组比较,观察组下床活动及住院时间更短,手术时间更长(P<0。05);两组术后0级、Ⅰ级、Ⅱ级、Ⅲ级比较差异有统计学意义(P<0。05);与对照组比较,观察组Rauschning-Lindgren分级改善情况更优(P<0。05);两组术前VAS评分及术后Lysholm评分比较差异有统计学意义(P<0。05);且较对照组,观察组Lysholm评分更高(P<0。05);与术前比较,两组术后QOL各维度评分更高,且观察组比对照组更高(P<0。05);观察组总复发率3。57%低于对照组21。43%,差异有统计学意义(χ2=4。082,P=0。043)。结论 关节镜下引流术联合囊壁切除术治疗腘窝囊肿疗效显著,可有效改善患者疼痛、膝关节功能以及生活质量,降低疾病复发率,值得临床推广与应用。
Objective To investigate the clinical efficacy of different arthroscopic surgery for popliteal cyst.Methods 56 cases of popliteal fossa cyst from January 2020 to April 2022 were randomly divided into the observation group(n=28)and the control group(n=28).The patients in the control group were treated with internal drainage of popliteal fossa cyst under arthroscope,and the patients in the observation group were treated with internal drainage of popliteal fossa cyst combined with cyst wall resection,visual analogue scale(Vas),quality of life scale(Qol-74),knee joint rating scale(Lysholm)and recurrence were also evaluated.Results There was no significant difference in the length of incision and the amount of bleeding between the two groups(P>0.05).Compared with the control group,the observation group had shorter ambulation,shorter hospital stay and longer operation time(P>0.05).Compared with the control group,the improvement of Rauschning-lindgren grade was better in the observation group(P<0.05).Compared with the control group,the Lysholm score was higher in the observation group(P<0.05),and the scores of all QOL dimensions were higher in the two groups,the total recurrence rate was 3.57%in the observation group and 21.43%in the control group(χ2=4.082,P=0.043).Conclusion Arthroscopic internal drainage of popliteal fossa cyst combined with cystectomy is effective in the treatment of popliteal fossa cyst,which can effectively improve pain,knee function and quality of life,and reduce the recurrence rate of the disease,worthy of clinical promotion and application.

Popliteal cystCystectomyArthroscopic internal drainageKnee function

简宏鹏、洪沐汉、徐敏

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322200 浙江大学医学院附属第一医院浦江分院

腘窝囊肿 囊壁切除术 关节镜下内引流术 膝关节功能

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(8)