中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2015年
2期
235-237
,共3页
超声检查,介入性%葡萄糖溶液,高渗%腘窝囊肿
超聲檢查,介入性%葡萄糖溶液,高滲%腘窩囊腫
초성검사,개입성%포도당용액,고삼%객와낭종
Ultrasonogrphy,interventional%Glucose solution,hypertonic%Popliteal cyst
目的：探讨超声引导下经皮穿刺抽吸并注射高渗糖硬化治疗腘窝囊肿的疗效、并发症及安全性。方法在超声引导下对76例腘窝囊肿患者行经皮穿刺抽吸并注入50%高渗糖冲洗硬化治疗，治疗后定期复查，观察临床症状改善情况并比较囊肿大小及并发症的发生情况。结果治疗后12个月超声随访,76例患者均未发生明显并发症，74例患者临床症状显著缓解。囊肿体积缩小≥80%的有52例，占68.42%（52/76），其中36例完全消失；体积缩小50%至80%之间的有16例，占21.05%（16/76）；体积缩小30%至50%之间的有6例，占7.89%（6/76）。囊肿体积缩小＜30%的2例，占2.63%（2/76）。体积缩小不足30%的2例患者行第2次穿刺硬化之后6个月复查，囊肿体积缩小大于80%。结论超声引导下经皮穿刺抽吸并注入50%高渗糖硬化治疗腘窝囊肿是一种操作简便、安全可靠的有效治疗方法。
目的：探討超聲引導下經皮穿刺抽吸併註射高滲糖硬化治療腘窩囊腫的療效、併髮癥及安全性。方法在超聲引導下對76例腘窩囊腫患者行經皮穿刺抽吸併註入50%高滲糖遲洗硬化治療，治療後定期複查，觀察臨床癥狀改善情況併比較囊腫大小及併髮癥的髮生情況。結果治療後12箇月超聲隨訪,76例患者均未髮生明顯併髮癥，74例患者臨床癥狀顯著緩解。囊腫體積縮小≥80%的有52例，佔68.42%（52/76），其中36例完全消失；體積縮小50%至80%之間的有16例，佔21.05%（16/76）；體積縮小30%至50%之間的有6例，佔7.89%（6/76）。囊腫體積縮小＜30%的2例，佔2.63%（2/76）。體積縮小不足30%的2例患者行第2次穿刺硬化之後6箇月複查，囊腫體積縮小大于80%。結論超聲引導下經皮穿刺抽吸併註入50%高滲糖硬化治療腘窩囊腫是一種操作簡便、安全可靠的有效治療方法。
목적：탐토초성인도하경피천자추흡병주사고삼당경화치료객와낭종적료효、병발증급안전성。방법재초성인도하대76례객와낭종환자행경피천자추흡병주입50%고삼당충세경화치료，치료후정기복사，관찰림상증상개선정황병비교낭종대소급병발증적발생정황。결과치료후12개월초성수방,76례환자균미발생명현병발증，74례환자림상증상현저완해。낭종체적축소≥80%적유52례，점68.42%（52/76），기중36례완전소실；체적축소50%지80%지간적유16례，점21.05%（16/76）；체적축소30%지50%지간적유6례，점7.89%（6/76）。낭종체적축소＜30%적2례，점2.63%（2/76）。체적축소불족30%적2례환자행제2차천자경화지후6개월복사，낭종체적축소대우80%。결론초성인도하경피천자추흡병주입50%고삼당경화치료객와낭종시일충조작간편、안전가고적유효치료방법。
Objective To investigate the efficacy, complications and safety of ultrasound-guided percutaneous needle aspiration and hyperosmotic glucose injection on popliteal cyst. Methods 76 patients who suffered from popliteal cyst were treated with percutaneous needle aspiration and 50%hypertonic glucose injection, and then had a regular follow-up to observe the clinical symptoms, size changes and complications. Results A 12 month follow-up: 76 patients had no obvious complications. The clinical symptoms of 74 patients were significantly relieved. The cyst volume decreased more than 80%in 52 cases (68.42%), between 50%and 80%in 16 cases (21.05%), between 30%and 50%in 6 cases (7.89%). 2 cases were decreased less than 30%, and then carried out the second treatment. The volume decreased 80% after 6 months. Conclusion Ultrasound guided percutaneous needle aspiration and hyperosmotic glucose injection is a simple, safe and effective method for popliteal cyst.
