用75%高渗葡萄糖硬化治疗腕背侧滑膜囊肿
SCLEROTHERAPY WITH 75% HYPERTONIC GLUCOSE TO TREAT DORSAL SYNOVIAL CYSTS OF THE WRIST.
作者信息
Pires Fernando Araujo, Santos João Baptista Gomes Dos, Fernandes Carlos Henrique, Nakashima Luis Renato, Faloppa Flávio
机构信息
Universidade Federal de São Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2021 Mar-Apr;29(2):101-104. doi: 10.1590/1413-785220212902238666.
OBJECTIVE
To evaluate the cure rate for dorsal synovial cysts of the wrist with aspiration and percutaneous sclerotherapy using 75% hypertonic glucose.
METHODS
We enrolled 45 patients older than 18 years with untreated dorsal synovial cysts of the wrist. They underwent percutaneous aspiration and sclerotherapy with 75% hypertonic glucose 75%. A maximum of two procedures were conducted for each cyst at a 4-week interval. We analyzed age, sex, affected side, history of previous trauma, wrist goniometry, grip strength, wrist pain by the visual analogue scale, complications, and hand function questionnaire scores.
RESULTS
We evaluated 45 patients (30 female, 15 male, mean age 38.2 years with 47 cysts). Four weeks after the first procedure, 72.3% cysts were palpable and visible. At 24 weeks after the first procedure, 57.4% cysts evolved to cure and 42.6% persisted.
CONCLUSION
Treatment of dorsal synovial cyst of the wrist with aspiration and percutaneous sclerotherapy using 75% hypertonic glucose achieved a 57.4% cure rate after 24 weeks. .
目的
评估采用75%高渗葡萄糖进行抽吸及经皮硬化治疗手腕背侧滑膜囊肿的治愈率。
方法
我们纳入了45例年龄超过18岁、未经治疗的手腕背侧滑膜囊肿患者。他们接受了75%高渗葡萄糖的经皮抽吸及硬化治疗。每个囊肿最多进行两次操作，间隔4周。我们分析了年龄、性别、患侧、既往创伤史、手腕测角、握力、视觉模拟量表评估的手腕疼痛、并发症以及手功能问卷评分。
结果
我们评估了45例患者（30例女性，15例男性，平均年龄38.2岁，共47个囊肿）。首次操作后4周，72.3%的囊肿可触及且可见。首次操作后24周，57.4%的囊肿治愈，42.6%持续存在。
结论
采用75%高渗葡萄糖进行抽吸及经皮硬化治疗手腕背侧滑膜囊肿，24周后治愈率达57.4%。
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