腘窝软组织肿块的诊断与手术治疗

Diagnosis and surgical treatment of popliteal soft tissue tumors

目的探讨腘窝部软组织肿块的诊断及常见肿块的诊治方法。方法回顾性分析117例腘窝部软组织肿块切除手术,比较术前诊断与病理诊断,分析手术并发症。结果 117例肿块包括腘窝囊肿96例,非腘窝囊肿21例,共涉及11种疾病,术前诊断正确率85.5%,其中腘窝囊肿与非腘窝囊肿术前诊断正确率分别为94.8%和42.9%。113例术后随访8-38（36±3.6）个月,失访4例。治愈109例,复发4例（其中死亡2例）,切除腘窝肿块6例出现并发症。结论腘窝软组织肿块涉及疾病较多;腘窝囊肿手术治疗关键是掌握好手术指征及手术要点;非腘窝囊肿肿块由于性质难定,手术应当成为首诊选择。

Objective To explore the diagnosis and surgical procedure of soft tissue tumors in the popliteal fossae.Methods A retrospective study was conducted to evaluate surgical excision of 117 cases of popliteal soft tissue tumors.The preoperative diagnosis was compared with pathologic diagnosis and surgical complications was analyzed.Results Totally 117 cases included 96 popliteal cysts and 21 non-popliteal cysts were related to 11 disease.The correct rate of preoperative diagnosis was 85.5%（popliteal cysts 94.8%,non-popliteal cysts 42.9%）.All cases were followed up 8 to 38（36±3.6） years except 4 cases,109 cases were cured,4 cases were recurrence and 2 died.Complications were seen in 6 cases.Conclusions Soft tissue tumors in the popliteal fossae are related to much broader spectrum of diseases.On curing popliteal cyst,it is important to master surgical indications and crucial points of operation procedure.Because histological features of non-popliteal cyst is difficult to determine,surgical treatment should be adviced for initial choise.