改良囊肿切除术治疗远指问关节黏液囊肿

Modified cyst excision for treatment of distal interphalangeal joint mucous cysts

目的探讨采用骨赘咬除、囊肿蒂部切除、深部囊液引流的方法治疗远指间关节黏液囊肿的疗效。方法自2009年4月至2014年9月，采用骨赘咬除、囊肿蒂部切除、深部囊液引流治疗15例19处远指间关节黏液囊肿。囊肿位于远指间关节单侧10处，双侧7处，两侧同发并相互连通2处。囊肿范围0．5cm×0．4cm～2．1cm×1．8cm。结果术后I例切口发生感染，经换药后愈合；其余切口均I期愈合。术后患者均获得随访，时间16～24个月，平均12．5个月。术前临厉i症状均获得改善，随访期间一处囊肿复发，经再次手术后治愈。结论采用骨赘咬除、囊肿蒂部切除、深部囊液引流治疗远指间关节黏液囊肿，术后复发率低，关节功能恢复佳，临床疗效满意，是治疗远指间关节黏液囊肿有效而确切的手段，值得推广使用。

Objective To investigate the clinical effects of osteophytes removal, pedicle resection and deep cystic fluid drainage in the treatment of distal interphalangeal joint mucous cysts. Methods From April 2009 to September 2014, 15 patients with 19 distal interphalangeal joint mucous cysts were treated with osteophytes removal, pedicle resection and deep cystic fluid drainage. Cysts located in the unilateral distal interphalangeal joint were 10, bilateral were 7, both sides communicated with each other were 2. The range of cysts was 0.5 cm×0.4 cm to 2.1 cm×l.8 cm. Results Postoperatively, 1 case occurred incision infection which healed after dressing change. Other incisions achieved primary healing. All the patients were follow-up for 16 to 24 months with an average of 12.5 months. Preoperative clinical symptoms were improved. During the follow-up period, one cyst recurred which was cured after reoperation. Conclusion Application of osteophytes removal, pedicle resection and deep cystic fluid drainage for treatment of distal interphalangeal joint mucous cysts can achieve satisfactory clinical effects due to its low postoperative recurrence rate and good Joint functional recovery, which is worthy of popularizing.