关节镜治疗髌下脂肪垫囊肿15例报告

发布时间：2018-07-07 07:54

本文选题：髌下脂肪垫 + 囊肿　；参考：《中国微创外科杂志》2017年12期

【摘要】：目的探讨关节镜治疗髌下脂肪垫囊肿的效果。方法回顾性分析2012年2月~2017年2月我院髌下脂肪垫囊肿15例资料,均有膝关节前方疼痛及包块。按照囊肿累及部位的不同,呈现脂肪垫内生长(n=5)、累及半月板(n=6)和关节外凸出(n=4)三种形态。前两种采用关节镜下囊肿切除,第三种采用关节镜辅助开放手术切除。术后第3、6、12个月随访,观察囊肿复发情况,比较囊肿不同形态下的术后膝关节Lysholm评分。结果术后随访3~12个月,平均10.7月。膝关节Lysholm评分优10例,良5例,优良率100%(15/15),均未见髌下脂肪垫囊肿复发。末次随访膝关节Lysholm评分(96.1±3.8)分,较术前(69.5±8.0)分显著升高(t=-14.915,P=0.000)。按髌下脂肪垫囊肿形态分组,各组末次随访膝关节Lysholm评分无显著差异(F=2.032,P=0.174)。结论髌下脂肪垫囊肿可采用关节镜及其辅助下开放切除,手术疗效确切。
[Abstract]:Objective to investigate the effect of arthroscopy on subpatellar fat pad cyst. Methods from February 2012 to February 2017, 15 cases of infrapatellar fat pad cyst in our hospital were retrospectively analyzed. According to the location of cyst involvement, there were three types of growth in fat pad (nm5), meniscus involvement (nong6) and extraarticular protuberance (nm4). The first two cysts were resected by arthroscopy and the third by arthroscopic open surgery. The recurrence of cysts was observed at the 6th and 12th months after operation, and the Lysholm score of the knee joint was compared under the different morphology of the cysts. Results postoperative follow-up ranged from 3 to 12 months (mean 10.7 months). Lysholm score of knee joint was excellent in 10 cases and good in 5 cases. The excellent and good rate was 100% (15 / 15). No recurrence of infrapatellar fat pad cyst was found. The Lysholm score of knee joint was (96.1 卤3.8) at the last follow-up, which was significantly higher than that before (69.5 卤8.0) (t = 14.915, P = 0.000). According to the morphology of infrapatellar fat pad cyst, there was no significant difference in Lysholm score of knee joint at the last follow-up in each group (FF2. 032, P < 0. 174). Conclusion Intrapatellar fat pad cyst can be resected by arthroscopy and assisted open resection.
【作者单位】：第四军医大学西京医院骨科;陕西省宝鸡市中心医院骨科;
【基金】：陕西省科学技术发展研究计划项目(2014K12-14)
【分类号】：R687.4

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