关节镜下切除腘窝囊肿的治疗效果

Therapeutic effect of arthroscopic resection of popliteal cyst

目的：探讨关节镜下切除腘窝囊肿的治疗效果。方法将90例腘窝囊肿患者按治疗方法分为观察组和对照组（每组45例），观察组采用关节镜下囊肿切除术，对照组采用传统开放手术治疗，比较两组治疗效果。结果观察组手术时间短于对照组，差异有统计学意义（P〈0．05）。两组患者均获得随访，时间3-6个月。观察组的术后复发率以及康复时间少于对照组，术后优良率高于对照组，差异均有统计学意义（P 〈0．05）。观察组术后Rauschning-Lindgren分级优于对照组，差异有统计学意义（P〈0．05）。两组患者均未发生血管、神经、肌肉损伤及骨筋膜室综合征等并发症。结论关节镜下行腘窝囊肿切除术效果良好，可以缩短患者手术时间和康复时间，并降低术后复发率。

Objective To investigate the therapeutic effect of arthroscopic resection of popliteal cyst. Methods The 90 cases of popliteal cyst were randomly divided into observation group and control group, each group included 45 pa-tients, the observation group was treated by arthroscopic cyst excision, and the control group was treated with tradi-tional open surgery. The effect of the two groups was compared. Results The average operation time of the observa-tion group was longer than that of the control group, the difference was statistically significant （ P 〈0. 05 ） . Two groups of patients were followed up for 3-6 months. The postoperative recurrence rate and recovery time of the obser-vation group was significantly lower than that of the control group, the postoperative excellent-good rate was signifi-cantly higher than that of the control group, the difference was statistically significant（P〈0. 05）. After treatment, the Rauschning-Lindgren classification of the observation group was significantly better than the control group, the differ-ences were statistically significant （P〈0. 05）. There were no complications such as vascular, nerve, muscle damage and compartment syndrome in the two groups. There was no obvious complication after surgery in the two groups. Conclusions The effect of arthroscopic resection of popliteal cyst is good. It can greatly reduce the operation time, the recovery time and postoperative recurrence rate.