Department of Orthopedics and Trauma Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine Maharajgunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2021 Nov 15;59(243):1150-1154. doi: 10.31729/jnma.6574.
Ganglion is a commonly encountered soft tissue tumor. Most commonly patients seek treatment for cosmetic issues. There are a variety of treatment options available but very few are effective and cosmetically acceptable. Common treatment techniques have either high recurrence rates or have complications. Treatment by transfixation with linen suture under local anaesthesia on an outpatient basis is an upcoming treatment. The objective of the study is to find out the prevalence of successful outcome of transfixation techniques in treatment of dorsal wrist ganglion.
This study is a descriptive cross-sectional study undertaken at a tertiary care center from November 2018 to May 2020. Ethical approval was taken from the same institution. Convenient sampling method was used. Patients presenting with dorsal wrist ganglion and consenting for the transfixation underwent the procedure. All the patients were operated under local anesthesia. Statistical analysis was done using Statistical Package for Social Sciences version 24.0. Point estimate was done at 95% Confidence Interval and frequency and percentage were calculated.
Out of 30 cases, 29 (96.66%) have got successful outcomes with transfixation techniques. Among 30 patients, recurrences were seen in 2 (6.66%) cases. Patient satisfaction was high in 27 (90 %) cases. No complication was encountered.
Transfixation technique had good results in terms of low recurrence rate, percentage resolution in size and high patient satisfaction.\ Keywords: ganglion cyst; treatment; minimally invasive.
腱鞘囊肿是一种常见的软组织肿瘤。大多数患者寻求治疗主要是为了解决美容问题。目前有多种治疗方法可供选择，但有效的且美容效果可接受的方法却很少。常见的治疗技术要么复发率高，要么有并发症。在局麻下用亚麻缝线经皮穿剌固定术是一种新兴的治疗方法。本研究的目的是了解经皮穿剌固定术治疗背侧腕部腱鞘囊肿的成功率。
本研究为 2018 年 11 月至 2020 年 5 月在一家三级护理中心进行的描述性横断面研究。从同一机构获得伦理批准。使用便利抽样法。对背侧腕部腱鞘囊肿且同意经皮穿剌固定术的患者进行手术。所有患者均在局部麻醉下进行手术。使用社会科学统计软件包 24.0 进行统计分析。点估计值在 95%置信区间内，计算频率和百分比。
30 例患者中，29 例（96.66%）经皮穿剌固定术治疗效果良好。在 30 例患者中，2 例（6.66%）出现复发。27 例（90%）患者满意度高。无并发症发生。
经皮穿剌固定术治疗背侧腕部腱鞘囊肿的复发率低、囊肿体积缩小率高、患者满意度高，效果良好。关键词：腱鞘囊肿；治疗；微创。
