Calif Edward, Stahl Shy, Stahl Shalom
Unit of Hand Surgery, Rambam Medical Center, Haifa, Israel.
J Pediatr Orthop B. 2005 Nov;14(6):448-50. doi: 10.1097/01202412-200511000-00012.
Our study aimed at characterizing the natural history and defining the indications for surgical intervention for pediatric ganglia. Thirty-four cases of children under the age of 17 years were reviewed. Twenty-nine children were treated conservatively, with spontaneous resolution in 27 within an average of 9 months; four were treated by aspiration; recurrence was observed in one, and one underwent surgical excision without recurrence. We recommend a conservative management coupled with reassurance for the child and parents. Surgery should be considered for ganglions with atypical appearance or complaints, and large cysts that do not show signs of resolution within a year.
我们的研究旨在描述小儿腱鞘囊肿的自然病程，并确定手术干预的指征。回顾了34例17岁以下儿童的病例。29例儿童接受了保守治疗，其中27例平均在9个月内自然消退；4例接受了抽吸治疗，1例出现复发，1例接受了手术切除且未复发。我们建议采取保守治疗，并安抚患儿及其家长。对于外观或症状不典型的腱鞘囊肿以及一年内未显示消退迹象的大囊肿，应考虑手术治疗。
