手术与封闭治疗腕背部腱鞘囊肿67例对比分析

Comparison and analysis of 67 cases of dorsal wrist ganglion treated with surgery and block therapy

目的对比分析手术与封闭治疗腕背部腱鞘囊肿的方法与疗效。方法 67例腕背部腱鞘囊肿患者,根据患者意愿及病情分为A组(31例)与B组(36例)。A组采用手术切除治疗,B组采用药物封闭治疗。观察比较两组的治疗效果。结果 A组31例患者中,治愈29例(93.5%),复发2例(6.5%);B组36例患者中,治愈30例(83.3%),复发6例(16.7%)。A组治愈率高于B组、复发率低于B组,但差异无统计学意义(P>0.05)。结论手术切除腕背部腱鞘囊肿治愈率高,复发机会小,但术后局部软组织创伤较大,遗留瘢痕;封闭治疗较手术治愈率低,复发率高,但具有局部软组织创伤小、无瘢痕遗留、术者操作简单、患者易于接受的优势,在临床中可作为首选治疗方法,再次复发者可考虑手术切除。

Objective To compare and analyze the method and efficacy of surgery and block therapy in the treatment of dorsal wrist ganglion.Methods A total of 67 dorsal wrist ganglion patients were divided by patients＇ willingness and illness into group A（31 cases） and group B（36 cases）.Group A received surgical excision therapy,and group B received drug block therapy.The treatment effect in two groups was observed and compared.Results Group A had 29 cured cases（93.5%） and 2 recurrent cases（6.5%）,while group B had 30 cured cases（83.3%） and 6 recurrent cases（16.7%）.Group A had higher cured rate and lower recurrence rate than group B,but their difference was not statistically significant（P〉0.05）.Conclusion The surgical excision of the dorsal carpal ganglion has a high cure rate and a small chance of recurrence,but the local soft tissue trauma is large after operation with scar left behind.Block therapy has lower cure rate and higher recurrence rate than surgical treatment,but it has advantages of small soft tissue injury,scarless legacy,simple operation and easy acceptance of patients.It can be used as the as the preferred treatment method in clinic,and recurrent patients can consider surgical excision.