University of Pittsburgh School of Medicine, PA, USA.
University of Pittsburgh Medical Center, PA, USA.
Hand (N Y). 2022 Mar;17(2):261-265. doi: 10.1177/1558944720921477. Epub 2020 May 26.
The recurrence rate after open excision of ganglion cysts is approximately 20%. However, this literature is based on a small series of subjects. This study aims to determine the rate and risk of recurrence after open excision of ganglion cysts in a large patient series. This study included 628 patients who had ganglion cyst excision from 2010 to 2018. A retrospective chart review recorded the following: age, sex, laterality, volar/dorsal location, and recurrence. An overall recurrence rate was calculated. In addition, a 1-way analysis of variance test was used to compare recurrence rates among the individual surgeons, and unpaired tests were used to compare age of recurrence, dorsal cyst recurrence, laterality of cyst, and recurrence based on sex. Finally, a comparison of recurrence rate over time was conducted for surgeon 3. The overall recurrence rate was 3.8% (24 of 628). The recurrence rates for each surgeon were 3% (9 of 353), 2% (3 of 167), and 11% (12 of 107), = .02. The age of those with and without a recurrence did not differ (32 years vs 38 years), = .06. The recurrence rate of dorsal ganglion cysts was 4.1% (14 of 341) compared with 3.5% (10 of 286) for volar ganglion cysts, = .69. Male patients had a recurrence in 6.4% (13 of 204) of cases compared with 2.6% (11 of 424) of female patients, = 0.01. There was a decrease in the rate of recurrence from 42.9% to 5.3% over 5 years for surgeon 3. : In our sample, male sex and surgeon experience were significant risk factors in ganglion cyst recurrence.
腱鞘囊肿行开放切除术后的复发率约为 20%。然而，这一文献依据的是小样本量的研究对象。本研究旨在确定大量患者中腱鞘囊肿行开放切除术后的复发率和复发风险。
本研究纳入了 2010 年至 2018 年间行腱鞘囊肿切除术的 628 例患者。通过回顾性病历记录了以下信息：年龄、性别、优势侧/非优势侧、掌侧/背侧位置，以及复发情况。计算了总的复发率。此外，采用单因素方差分析检验比较了各手术医生之间的复发率，采用配对 t 检验比较了复发年龄、背侧囊肿复发、囊肿优势侧以及性别与复发的关系。最后，对 3 号手术医生的复发率进行了时间比较。
总的复发率为 3.8%（24/628）。每位手术医生的复发率分别为 3%（353 例中的 9 例）、2%（167 例中的 3 例）和 11%（107 例中的 12 例）， =.02。复发与无复发患者的年龄无差异（32 岁比 38 岁）， =.06。背侧腱鞘囊肿的复发率为 4.1%（341 例中的 14 例），而掌侧腱鞘囊肿的复发率为 3.5%（286 例中的 10 例）， =.69。204 例男性患者中有 6.4%（13 例）复发，424 例女性患者中有 2.6%（11 例）复发， = 0.01。3 号手术医生的复发率从 5 年内的 42.9%下降到 5.3%。
在我们的样本中，男性性别和手术医生经验是腱鞘囊肿复发的显著危险因素。
