CAJ | 학술논문

目的比较窝囊肿关节镜下治疗与开放手术治疗的临床疗效。方法2009年3月至2012年1月，共收治窝囊肿患者51例。按Rauschning和Lindgren 窝囊肿分级。其中关节镜组27例为采用关节镜下治疗窝囊肿，II级8例，III级19例。开放手术治疗组24例为采用传统开放手术治疗窝囊肿，II级6例，III 级18例。比较两组手术切口长度，手术时间，术后恢复至0级的恢复率，囊肿复发率。结果两组患者均获得8～16个月随访，平均13.6个月。切口长度：关节镜组(1.08±0.14) cm明显低于开放手术组(10.08±0.75) cm，差异有统计学意义( P＜0.05)。手术时间：关节镜组(30.25±3.38) min长于开放手术治疗组(19.85±2.32) min，差异有统计学意义( P＜0.05)。术后按 Rauschning 和 Lindgren 窝囊肿分级，关节镜组：0级24例，I级1例，II级2例。开放手术组：0级21例，I级2例，II级1例。恢复率：关节镜组(88.9%)与开放手术组(87.5%)差异无统计学意义( P＞0.05)。复发率：关节镜组(3.7%)与开放手术组(8.3%)，差异无统计学意义( P＞0.05)。结论关节镜下治疗窝囊肿创伤小、恢复快、疗效确切。
목적비교와낭종관절경하치료여개방수술치료적림상료효。방법2009년3월지2012년1월，공수치와낭종환자51례。안Rauschning화Lindgren 와낭종분급。기중관절경조27례위채용관절경하치료와낭종，II급8례，III급19례。개방수술치료조24례위채용전통개방수술치료와낭종，II급6례，III 급18례。비교량조수술절구장도，수술시간，술후회복지0급적회복솔，낭종복발솔。결과량조환자균획득8～16개월수방，평균13.6개월。절구장도：관절경조(1.08±0.14) cm명현저우개방수술조(10.08±0.75) cm，차이유통계학의의( P＜0.05)。수술시간：관절경조(30.25±3.38) min장우개방수술치료조(19.85±2.32) min，차이유통계학의의( P＜0.05)。술후안 Rauschning 화 Lindgren 와낭종분급，관절경조：0급24례，I급1례，II급2례。개방수술조：0급21례，I급2례，II급1례。회복솔：관절경조(88.9%)여개방수술조(87.5%)차이무통계학의의( P＞0.05)。복발솔：관절경조(3.7%)여개방수술조(8.3%)，차이무통계학의의( P＞0.05)。결론관절경하치료와낭종창상소、회복쾌、료효학절。
Objective To compare the differences in clinical effects between arthroscopic treatment of popliteal cysts and open operation. Methods From March 2009 to January 2012, 51 patients with popliteal cysts were treated. According to Rauschning and Lindgren classiifcation, 27 patients who were treated by arthroscopy was Group A, including 8 cases of grade II and 19 cases of grade III. 24 patients who were treated by traditional open operation was Group B, including 6 cases of grade II and 18 cases of grade III. The incision length, operation time, rate of improving to grade 0 after the surgery and cyst recurrence rate were compared between the 2 groups. Results The patients in both groups were followed up for 13.6 months on average ( range;8-16 months ). The incision length of ( 1.08±0.14 ) cm in Group A was obviously lower than ( 10.08±0.75 ) cm in Group B, and the differences were statistically signiifcant ( P<0.05 ). The operation time of ( 30.25±3.38 ) min in Group A was longer than ( 19.85±2.32 ) min in Group B, and the differences were statistically signiifcant ( P<0.05 ). According to Rauschning and Lindgren classiifcation, there were 24 cases of grade 0, 1 case of grade I and 2 cases of grade II in Group A and 21 cases of grade 0, 2 cases of grade I and 1 case of grade II in Group B. There were no statistically signiifcant differences in the improvement rate between Group A ( 88.9% ) and Group B ( 87.5% ) ( P>0.05 ). There were no statistically signiifcant differences in the recurrence rate between Group A ( 3.7%) and Group B ( 8.3%) ( P>0.05 ). Conclusions Arthroscopic treatment of popliteal cysts is an effective method, with less trauma and early recovery.