微创关节镜技术在膝关节腘窝囊肿中的临床应用及评估

Clinical Application and Evaluation of Minimally Invasive Arthroscopy in Popliteal Cyst of Knee Joint

目的探讨微创关节镜技术在膝关节腘窝囊肿中的治疗效果。方法选取我院2016年6月至2017年5月收治的腘窝囊肿患者30例,随机分为微创组(微创关节镜治疗,15例)和传统组(传统开放性手术治疗,15例)。比较两组患者的手术相关指标、复发率和好转率。结果微创组的手术时间、手术切口长度、出血量、术后12 h疼痛评分均优于传统组(P<0.05)。微创组的好转率为86.67%,高于传统组的53.33%(P<0.05)。两组患者的复发率比较差异无统计学意义(P>0.05)。结论与传统开放手术相比,微创关节镜下治疗膝关节腘窝囊肿能够减轻患者的手术创伤,促进术后恢复,具有显著临床治疗效果。

Objective To explore the treatment effect of minimally invasive arthroscopy in popliteal cyst of knee joint. Methods 30 cases of patients with popliteal cyst of knee joint admitted to our hospital from June 2016 to May 2017 were selected and randomly divided into minimally invasive group（minimally invasive arthroscopy treatment, 15 cases） and traditional group（traditional open surgery, 15 cases）.The surgical related indicators, recurrence rate and improvement rate were compared between the two groups. Conclusions The operation time, incision length, blood loss and pain scores at 12 h after operation of minimally invasive group were significantly better than those of the traditional group（P 〈0.05）. The improvement rate of the minimally invasive group was 86.67%, higher than 53.33% of the traditional group（P 〈0.05）. No statistical difference was found in the recurrence rate between the two groups（P 〉0.05）. Results Compared with the traditional open surgery, minimally invasive arthroscopy in the treatment of popliteal cyst of knee joint can reduce the operation trauma and promote the postoperative recovery, and has significant clinical treatment effect.