Burger C, Mönig S P, Prokop A, Rehm K E
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universität zu Köln.
Chirurg. 1998 Nov;69(11):1224-9. doi: 10.1007/s001040050560.
Baker's cysts were treated operatively in 19 patients in the Department of Traumatology of the University of Cologne from 1988 to 1997. The subjective and objective results were evaluated with a questionnaire and a clinical examination and sonography (follow-up: 95%). All patients were examined before surgery, sonography and X-ray of the knee were performed. We differentiated between the congenital primary cyst (39%), and the secondary form, which was always associated with an intraarticular lesion (61%). Arthroscopy was performed in all secondary forms of Baker's cyst. Postoperative complications were two reinterventions due to one hematoma and one effusion. Patient's evaluation of operation result was "excellent" in 61% and "good" in 39% of cases. All knee joints had a full range of motion. There was only one case of a recurrent cyst. The primary form of Baker's cyst has always to be extirpated, according to our clinical experience. The extirpation of the secondary Baker's cyst and the relevance of arthroscopy and treatment of the basic disease have to be discussed.
1988年至1997年期间，科隆大学创伤科对19例贝克囊肿患者进行了手术治疗。通过问卷调查、临床检查和超声检查（随访率：95%）对主观和客观结果进行评估。所有患者在手术前均接受检查，对膝关节进行了超声和X线检查。我们区分了先天性原发性囊肿（39%）和继发性囊肿，继发性囊肿总是与关节内病变相关（61%）。对所有继发性贝克囊肿均进行了关节镜检查。术后并发症包括因1例血肿和1例积液进行的2次再次干预。61%的患者对手术结果评价为“优秀”，39%评价为“良好”。所有膝关节活动范围均正常。仅1例出现复发性囊肿。根据我们的临床经验，原发性贝克囊肿始终需要切除。继发性贝克囊肿的切除以及关节镜检查的相关性和基础疾病的治疗需要进行讨论。
