改良双后内侧入路关节镜治疗腘窝囊肿

Arthroscopic treatment of popliteal cyst through the modified double posteromedial portal

目的评估改良双后内侧入路关节镜治疗腘窝囊肿的手术效果。方法收集2019年4月—2021年6月间在门诊诊断为腘窝囊肿的210例患者的临床资料,其中62例患者选择手术治疗。将手术患者随机分成2组,一组行切开手术,另一组行关节镜手术治疗,同时纳入31例保守治疗患者为保守治疗组。对比三组患者术前与术后3个月膝关节视觉模拟评分法(VAS)评分、Lysholm膝关节功能评分和美国膝关节协会(KSS)评分差异。结果开放手术组术前VAS评分、Lysholm评分、KSS评分分别为(3.69±0.93)、(63.75±4.76)、(60.87±5.85)分,术后VAS评分、Lysholm评分、KSS评分分别为(2.04±1.04)、(76.81±6.35)、(70.42±4.87)分;关节镜组术前VAS评分、Lysholm评分、KSS评分分别为(3.81±0.84)、(62.84±4.85)、(58.95±4.79)分,术后VAS评分、Lysholm评分、KSS评分分别为(1.47±0.85)、(82.35±7.34)、(78.52±5.67)分;保守治疗组术前VAS评分、Lysholm评分、KSS评分分别为(3.92±1.02)、(61.39±3.92)、(62.42±6.78)分,术后VAS评分、Lysholm评分、KSS评分分别为(3.94±1.14)、(61.85±7.48)、(60.52±6.37)分。与术前比较,关节镜组和开放手术组患者术后3个月的膝关节VAS评分、Lysholm膝关节功能评分、KSS评分均有显著改善(P<0.001);与开放手术组比较,关节镜组改善的更好(P<0.05)。结论改良双后内侧入路关节镜治疗腘窝囊肿的手术效果满意。

Objective To evaluate the effect of Arthroscopic Treatment of Popliteal Cyst through the modified double posteromedial portal.Methods A total of 210 patients who diagnosed with popliteal cyst between April 2019 and June 2021 were chosen.62 patients underwent surgical treatment,include open excision and arthroscopic surgery.At the same time,31 patients with conservative treatment were included as conservative treatment group.The Visual Analogue Score(VAS score),Lysholm knee function score,and Knee Society Score(KSS)scores were assessed before and 3 months after the operation.Results In the open excision group,preoperative VAS score was 3.69±0.93,Lysholm score was 63.75±4.76,KSS score was 60.87±5.85,and postoperative VAS score was 2.04±1.04,Lysholm score was 76.81±6.35,KSS score was 70.42±4.87.In the arthroscopic surgery group,preoperative VAS score was 3.81±0.84,Lysholm score was 62.84±4.85,KSS score was 58.95±4.79,and postoperative VAS score was 1.47±0.85,Lysholm score was 82.35±7.34,KSS score was 78.52±5.67.In conservative treatment group,preoperative VAS score was 3.92±1.02,Lysholm score was 61.39±3.92,KSS score was 62.42±6.78,and postoperative VAS score was 3.94±1.14,Lysholm score was 61.85±7.48,KSS score was 60.52±6.37.Significant improvement was observed in all the measurements after the operation compared to before the operation(P<0.001).Compared with the open excision group,the arthroscopic surgery group improved better(P<0.05).Conclusion Arthroscopy through the modified double posteromedial portal in the treatment of popliteal cyst has satisfactory results.