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腕背腱鞘囊肿关节镜下切除术的疗效评估

Outcome Evaluation of Arthroscopic Resection of Dorsal Wrist Ganglia.

作者信息

Kasapinova Katerina, Kamiloski Viktor, Atanasovska Emilija, Spasovska Katerina

机构信息

1Medical Faculty, University "St.Cyril and Metodius", University Surgery Clinic "St.Naum Ohridski", Department of Traumatology, Skopje, RN Macedonia.

2Medical Faculty, University "St.Cyril and Metodius", Institute for pharmacology and toxicology, Skopje, RN Macedonia.

出版信息

Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2023 Mar 29;44(1):145-153. doi: 10.2478/prilozi-2023-0016. Print 2023 Mar 1.

Abstract

: Arthroscopic ganglionectomy has become an increasingly popular surgical option for dorsal wrist ganglia. The aim of this study was to describe our technique for the arthroscopic treatment of dorsal wrist ganglia and to evaluate the clinical results as well as the recurrence rate in our patients. : In a prospective study, 48 patients who underwent arthroscopic treatment of dorsal ganglion of the wrist were included. Patients were evaluated preoperatively and 3 and 24 months post arthroscopy. A presence of recurrence at 24 months was recorded. The subjective outcome was evaluated with The Patient-Rated Wrist Evaluation (PRWE) and the Visual analog scale (VAS). Objective outcomes included grip strength and range of movement measurements. : The mean age was 36 years; the majority were women (36/48). Mean grip strength and the average flexion and extension in the wrist showed improvement after 3 months. The total PRWE score improved from 26.7 preoperatively to 10.2 at three months and 2.4 two years after surgery. After 24 months follow-up, there were only two patients with recurrence (4.2%). : The arthroscopic resection of the dorsal wrist ganglia is a procedure with a low recurrence rate and lowest scaring and stiffness; it should be considered as a golden standard for operative treatment of the dorsal wrist ganglia.

摘要

关节镜下腱鞘囊肿切除术已成为治疗腕背腱鞘囊肿越来越受欢迎的手术选择。本研究的目的是描述我们关节镜治疗腕背腱鞘囊肿的技术,并评估我们患者的临床结果以及复发率。:在一项前瞻性研究中,纳入了48例行关节镜治疗腕背腱鞘囊肿的患者。对患者在术前、关节镜检查后3个月和24个月进行评估。记录24个月时的复发情况。采用患者腕关节评估量表(PRWE)和视觉模拟量表(VAS)评估主观结果。客观结果包括握力和活动度测量。:平均年龄为36岁;大多数为女性(36/48)。术后3个月,平均握力以及腕关节的平均屈伸度均有改善。PRWE总分从术前的26.7分改善至术后3个月的10.2分以及术后两年的2.4分。随访24个月后,仅有2例患者复发(4.2%)。:关节镜下切除腕背腱鞘囊肿是一种复发率低、瘢痕形成和僵硬程度最低的手术;应被视为腕背腱鞘囊肿手术治疗的金标准。

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