Jacobs L G, Govaers K J
Department of Orthopaedic and Accident Surgery, University Hospital, Nottingham.
J Hand Surg Br. 1990 Aug;15(3):342-6. doi: 10.1016/0266-7681_90_90015-v.
The results of operation on 71 volar wrist ganglia are reported. The recurrence rate was 28%, occurring between 1 and 144 months (median: 5 months). The highest risk of recurrence is in a male patient, under 30 years of age, in a manual occupation, operated on by a junior surgeon. The use of a post-operative plaster slab seemed to be followed by significant wrist stiffness. 28% of the patients had evidence of damage to the palmar cutaneous branch of the median nerve. It is suggested that this could be avoided by positive identification of this nerve at operation.
报告了71例腕掌侧腱鞘囊肿的手术结果。复发率为28%，复发时间在1至144个月之间（中位数：5个月）。复发风险最高的是年龄在30岁以下、从事体力劳动的男性患者，由初级外科医生进行手术。术后使用石膏托似乎会导致明显的腕关节僵硬。28%的患者有正中神经掌皮支损伤的证据。建议术中通过明确识别该神经来避免这种情况。
