Mathoulin C, Hoyos A, Pelaez J
Institut de la Main, Clinique Jouvenet, 75016 Paris, France.
Hand Surg. 2004 Dec;9(2):159-64. doi: 10.1142/s0218810404002169.
The arthroscopic resection of synovial cysts of the wrist is a simple technique which is comfortable for the patient. We report on a series of 96 patients with dorsal synovial cysts (75 women, 21 men). All patients had undergone preliminary treatment which had been unsuccessful. We operated on 32 patients with a volar cyst (27 women, five men). All the patients were operated on as outpatients under local regional anaesthesia. For the dorsal cysts, after having precisely located the cyst, it is then resected after having inserted a shaver directly through the wall of the cyst starting with the capsule. For the volar cysts the arthroscope was inserted through a 3-4 portal and the shaver was inserted through a 1-2 radiocarpal portal. In all cases, there was no immobilisation and a range of motion was started the same day. For the dorsal cysts, our average follow-up was 34 months (range 12-46 months). There were no complications. We had four recurrences. For the palmar cysts, our average follow-up was 26 months (range 12-39 months). There have been no recurrences to date.
腕关节滑膜囊肿的关节镜下切除术是一种简单的技术，对患者来说较为舒适。我们报告了一系列96例背侧滑膜囊肿患者（75名女性，21名男性）。所有患者均接受过初步治疗，但均未成功。我们对32例掌侧囊肿患者（27名女性，5名男性）进行了手术。所有患者均在局部区域麻醉下作为门诊病人接受手术。对于背侧囊肿，在精确确定囊肿位置后，直接通过囊肿壁插入刨削器，从囊壁开始切除囊肿。对于掌侧囊肿，关节镜通过3-4通道插入，刨削器通过1-2桡腕通道插入。在所有病例中，均未进行固定，术后当天即开始活动。对于背侧囊肿，我们的平均随访时间为34个月（范围12-46个月）。无并发症发生。有4例复发。对于掌侧囊肿，我们的平均随访时间为26个月（范围12-39个月）。迄今为止尚无复发。
