全关节镜下双后内侧入路切除术对腘窝囊肿患者治疗效果、疼痛程度及复发率影响的临床观察

Clinical observation of the therapeutic effect,pain and recurrence rate of total arthroscopic double posteromedial approach resection in patients with popliteal cyst

目的 探讨全关节镜下双后内侧入路切除术对腘窝囊肿患者治疗效果、疼痛程度及复发率。方法 选取60例腘窝囊肿患者作为研究对象,按手术方式的不同将其分为实验组与对照组,各30例。给予对照组患者常规手术方法,给予实验组患者全关节镜下双后内侧入路切除术。对比2组患者手术效果、疼痛程度及复发率。结果 实验组劳施宁(Rauschning)和林格伦(Lindgren)分级结果为0级27例(90%),而对照组Rauschning和Lindgren分级结果为0级10例(33.33%);2组术前患者膝关节评分(LKS)、视觉模拟评分(VAS)比较差异无统计学意义(P>0.05)。术后6个月,实验组LKS评分高于对照组(P<0.05),VAS评分低于对照组(P<0.05);实验组患者术后6个月复发率为3.33%、术后9个月复发率为6.67%,对照组患者术后3个月复发率为13.33%、术后6个月复发率为20.00%、术后9个月复发率为26.67%。结论 对腘窝囊肿患者采用全关节镜下双后内侧入路切除术治疗取得了显著的临床效果,不仅降低了患者术后疼痛感,促进膝关节恢复,还减少了复发率,提高了患者生活质量,值得推广及应用。

Objective To investigate the therapeutic effect,pain and recurrence rate of total arthroscopic double posteromedial approach resection in patients with popliteal cysts.Methods A total of 60 patients with popliteal cyst were selected as the observation objects,and they were divided into the experimental group and the control group according to the differences in surgical methods(n=30).The patients in control group were given conventional surgical methods,and the patients in experimental group were given total arthroscopic double posteromedial approach resection.The surgical effect,pain and recurrence rate were compared in two groups.Results The results of Rauschning and Lindgren in the experimental group showed 27 cases of grade 0(90%),while the results of Rauschning and Lindgren showed 10 cases of grade 0(33.33%)in the control group.There was no differences in knee score(LKS)and visual analogue score(VAS)between two groups before surgery(P>0.05).Six months after surgery,the LKS score of the experimental group was higher than that of the control group(P<0.05),and the VAS score was lower than that of the control group(P<0.05),and the recurrence rate of the experimental group was 0 three months after surgery,3.33%6 months after surgery,and 6.67%in 9 months after surgery,which were lower than those in control group with a recurrence rate of 13.33%in 3 months after surgery,20.00%in 6 months after surgery,and 26.67%in 9 months after surgery.Conclusion The use of total arthroscopic double posterior medial approach resection for patients with popliteal cyst has achieved significant clinical results,which not only reduces the postoperative pain of patients,promotes knee joint recovery,but also reduces the recurrence rate and improves the happiness index of patients,which is worthy of promotion and application.