Razemon J P
Ann Chir Main. 1983;2(3):230-43. doi: 10.1016/s0753-9053(83)80005-2.
Histologic examination confirms the nonsynovial nature of cysts of the wrist, generally located on the dorsal surface. There is found a mucoid degeneration of the capsule and surrounding tissue with numerous neighboring microcysts. This is why it is irrational and usually ineffective to treat these cysts by crushing, aspiration or simple excision. These three methods result in frequent recurrences. One hundred and eighty cases were operated by excision of the cyst and all the neighboring involved tissue including in particular a disk 2 to 4 cm in diameter from the capsule of the joint. Almost all were cured, except for 3 recurrences, and any stiffness or weakness found was present preoperatively. A very detailed radiologic study (an average of 9 films per patient) made 3 years or more after operation showed there was no resultant carpal instability. In spite of its radial character this is the operation of choice in view of its efficacy and in cases where treatment is justified because of appearance or interference with function.
组织学检查证实腕部囊肿的非滑膜性质，囊肿通常位于背侧表面。发现囊肿包膜及周围组织有黏液样变性，并有许多相邻的微囊肿。这就是为什么通过挤压、抽吸或单纯切除来治疗这些囊肿是不合理的，而且通常是无效的。这三种方法都会导致囊肿频繁复发。180例患者接受了囊肿及所有相邻受累组织的切除手术，特别是从关节囊切除直径2至4厘米的圆盘状组织。几乎所有患者均治愈，仅3例复发，且术后出现的任何僵硬或无力症状术前就已存在。术后3年或更长时间进行的非常详细的放射学研究（平均每位患者9张X光片）显示，未出现腕关节不稳定的情况。尽管该囊肿具有桡侧特性，但鉴于其疗效以及因外观或功能障碍而需要治疗的情况，这仍是首选的手术方式。
