Gray Jason, Zuhlke Todd, Eizember Shane, Srinivasan Ramesh
Department of Orthopaedics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, U.S.A.
The Hand Center of San Antonio, San Antonio, Texas, U.S.A.
Arthrosc Tech. 2017 Feb 20;6(1):e207-e211. doi: 10.1016/j.eats.2016.09.018. eCollection 2017 Feb.
Ganglions are common soft tissue masses of the hand. High recurrence rates are associated with nonsurgical treatment; thus, excision is often indicated. Arthroscopic excision and open excision have similar recurrence rates; however, the latter is associated with prolonged healing time and increased scarring. Recently, dry wrist arthroscopic techniques have been used. This technique allows easier confirmation of complete ganglion removal, easier conversion to open surgery, earlier return of motion, and stitch-less closure when compared with traditional "wet" arthroscopic excision.
腱鞘囊肿是手部常见的软组织肿块。非手术治疗的复发率较高；因此，通常建议进行切除。关节镜下切除和开放切除的复发率相似；然而，后者愈合时间延长且瘢痕形成增加。最近，已采用腕部无水关节镜技术。与传统的“湿”关节镜切除相比，该技术能更轻松地确认腱鞘囊肿已完全切除，更容易转为开放手术，能更早恢复活动，且无需缝合。
