腔内交叉放置硬膜外麻醉导管治疗腱鞘囊肿的临床应用

Clinical application of intersectedly placing epidural anesthetic catheter in intracavity to cure ganglion

目的探讨采用腔内交叉放置硬膜外麻醉导管治疗腱鞘囊肿的临床疗效。方法 2009年9月～2011年3月,收治68例腱鞘囊肿。足背部35例,手腕部周围33例。主要症状为足背部、手腕部酸软或胀痛无力,活动不适。囊肿范围为(1.0cm×1.2cm)～(2.8cm×3.2cm),于局麻下行腔内十字交叉放置硬膜外麻醉导管,弹力绷带加压包扎,术后15d抽取导管。结果术后均Ⅰ期愈合,患者均获随访,随访时间为6～18个月,平均(11.8±6.2)个月。3例于术后4个月、10个月及13个月复发,复发率为4.4%;余患者关节活动自如,症状解除,手术瘢痕小。结论腔内放置硬膜外麻醉导管治疗腱鞘囊肿,复发率低,瘢痕小,疗效满意。

Objective To discuss the clinical application of intersectedly placing epidural anesthetic catheter in intracavity to cure ganglion. Methods From September 2009 to March 2011,68 cases of ganglion were treated,26 male and 42 female,age from 20 to 53,35 cases on foot dorsum,33 cases around wrist. The cardinal symptoms were aching and limp or inflexible with swelling pain and adynamia. The range of cyst was （1.0 cm × 1.2 cm）-（2.8 cm× 3.2 cm）. With local anesthesia,intersectedly place epidural anesthetic catheter in the intracavity,then use elastic bandage to pressure-dress the wound. The catheter is to be drawn off in 15 days after operation. Results All patients recovered in one period and they were all follow-up visited for about 6 to 18 months,13 months in average. 3 patients relapsed after 4 months,10 months and 13 months. The relapse rate was 4.4%. Other patients＇ articles were flexible and recovered with small scar. Conclusion To intersectedly place epidural anesthetic catheter in intracavity to cure ganglion is of pleased curative effect with low relapse rate and small scar.