开放手术与关节镜手术治疗成人腘窝囊肿疗效对比

Comparison of Complete Arthroscopic and Traditional Open Surgery for Adult Popliteal Cyst

目的：对关节镜和传统开放手术的疗效进行对比，探讨成人腘窝囊肿的有效治疗方法。方法：自2007年6月至2012年12月，我科接受手术治疗并获随访的腘窝囊肿成人患者30例，将其中行关节镜囊肿内引流术14例作为治疗组，后路开放手术囊肿切除术16例为对照组。记录并比较两组术前及随访Rauschning和Lindgren分级，并行B超检查以明确囊肿复发情况。结果：术后30例均随访3～6个月，平均5．6个月。术前两组Rauschning和Lindgren分级比较差异无统计学意义（P=0．779），术后两组Rauschning和Lindgren分级比较差异有统计学意义（P=0．029），治疗组疗效优于对照组。治疗组无一例囊肿复发，对照组复发率31％（5／16），两组复发率比较差异有统计学意义（P=0．041）。结论：关节镜手术治疗成人腘窝囊肿，疗效更好，术后复发率更低，优于传统开放手术。

Objective：To compare arthroscopic and open surgical treatment for adult pepliteal cyst so as to explore adult pepliteal cyst effective treatment. Methods ：Review 30 adult patients with pepliteal cyst who underwent surgery and were followed up in our hospital from June 2007 to December 2012, 14 cases who underwent arthroscopic treatment were divided as treatment group, the other 16 cases who underwent open surgery were divided as control group. Preoperative and final follow - up Rauschning and Lindgren grade were recorded. Results： Comparison be- tween two preoperative groups of Rauschning and Lindgren grade：P = 0. 779, there was no significant difference be- tween the two groups, Comparison between two postoperative groups of Rauschning and Lindgren grade： P = 0.029, there was statistically significant difference between the two groups, the treatment group was better than the control group. No recurrence case in treatment group, recurrence of 5 cases in control group, recurrence rate was 31%. Conclusions：Arthroscopic treatment of adult popliteal cyst is better than traditional open surgery.