Faithfull D K, Seeto B G
Department of Orthopaedics, Mona Vale Hospital, Sydney, New South Wales, Australia.
Hand Surg. 2000 Dec;5(2):139-43. doi: 10.1142/s0218810400000235.
The operative results of 59 wrist ganglions over a ten-year period are reported. The mean follow-up time was 65 months (range: 6-133). The indication for operation was pre-operative pain in 68% of cases (40 ganglions) and cosmetic deformity in 32% of cases (19 ganglions). There were six recurrences (10%) at a mean duration of 40 months post-operatively (range: 5-70). There was no statistical differences between recurrences comparing dorsal versus volar ganglions using the chi-squared analysis. Two occult recurrences were detected on follow-up ultrasound examination giving an overall recurrence rate of 14%. Despite 92% of patients being satisfied with the operative procedure, there were 16 patients (28%) who had either persistent pain, limitation of function, were unsatisfied or had a recurrence. These results show that treatment of a simple ganglion is more than just a minor operation.
报告了59例腕部腱鞘囊肿在十年期间的手术结果。平均随访时间为65个月（范围：6 - 133个月）。手术指征方面，68%的病例（40个腱鞘囊肿）是术前疼痛，32%的病例（19个腱鞘囊肿）是外观畸形。术后有6例复发（10%），平均复发时间为术后40个月（范围：5 - 70个月）。使用卡方分析比较背侧与掌侧腱鞘囊肿的复发情况，未发现统计学差异。随访超声检查发现2例隐匿性复发，总体复发率为14%。尽管92%的患者对手术过程满意，但仍有16例患者（28%）存在持续疼痛、功能受限、不满意或复发的情况。这些结果表明，简单腱鞘囊肿的治疗不仅仅是一个小手术。
