Finsen Vilhjalmur, Håberg Oyvind, Borchgrevink Grethe Elisabeth
Department of Orthopedic Surgery, St. Olav's University Hospital , Trondheim, Norway ; Faculty of Medicine, Norwegian University of Science and Technology , Trondheim, Norway.
Department of Orthopedic Surgery, St. Olav's University Hospital , Trondheim, Norway.
Orthop Rev (Pavia). 2014 Jan 23;6(1):5162. doi: 10.4081/or.2014.5162. eCollection 2014 Jan 20.
Wrist ganglia give few symptoms, but are a common reason for referral to a hand surgeon. We studied patient long-term satisfaction after operation. We reviewed 122 patients, who were operated for dorsal (n=82) and volar (n=40) wrist ganglia 8 years before (range 3-11). Three radial arteries were injured during surgery for volar a ganglion. By the time of review 33 patients (27%) had a recurrence or had been re-operated. Radical surgery did not reduce the recurrence rate significantly. Reported general complaints from the wrist improved from a mean visual analogue scores (VAS, 0=best; 100= worst) of 56 before surgery to VAS 14 at review and unsightliness from VAS 50 to VAS 14. Patients were equally happy with transverse and longitudinal scars. Ten patients (8%) stated that they would not have consented to surgery if they had known the outcome in advance. We conclude that, in spite of a high recurrence rate, most patients are happy with the results of surgery.
腕部腱鞘囊肿症状较少，但却是转诊至手外科医生的常见原因。我们研究了患者术后的长期满意度。我们回顾了122例患者，他们在8年前（范围为3 - 11年）接受了腕背侧（n = 82）和掌侧（n = 40）腱鞘囊肿手术。在掌侧腱鞘囊肿手术中有3条桡动脉受损。到复查时，33例患者（27%）出现复发或再次接受了手术。根治性手术并未显著降低复发率。报告显示，腕部的总体不适从术前平均视觉模拟评分（VAS，0分表示最佳；100分表示最差）56分改善至复查时的VAS 14分，外观不佳从VAS 50分改善至VAS 14分。患者对横向和纵向瘢痕的满意度相同。10例患者（8%）表示，如果他们事先知道结果，就不会同意手术。我们得出结论，尽管复发率较高，但大多数患者对手术结果感到满意。
