囊壁硬化联合关节镜治疗腘窝囊肿的效果及预后

［摘要］〖HTH〗目的〖HTSS〗探讨囊壁硬化联合关节镜治疗腘窝囊肿的效果及对患者预后影响。〖HTH〗方法〖HTSS〗选取腘窝囊肿70例患者，根据治疗方式不同将其分为观察组（n=38）及对照组（n=32），观察组采用囊壁硬化联合关节镜治疗，对照组仅采用关节镜治疗。观察2组治疗疗效，评价2种方法术后视觉模拟评分法(Visual Analogue Scale，VAS）评分及Lysholm评分变化。采用Logistic回归分析确定影响患者术后复发的危险因素。〖HTH〗结果〖HTSS〗2组术后VAS评分均呈下降趋势，Lysholm评分均呈上升趋势，且观察组变化幅度更明显。治疗后观察组总有率明显高于对照组（P＜0.05）。观察组术后5年复发率低于对照组（P＜0.05）。单因素及多因素分析显示，手术时间、术后感染、囊肿类型、手术方式为影响患者术后复发的危险因素（P＜0.05）。〖HTH〗结论〖HTSS〗相较关节镜治疗，囊壁硬化联合关节镜治疗腘窝囊肿的效果更好，且术后复发率较低。对于手术时间≥1 h、术后发生感染、分叶型囊肿及采用关节镜下囊肿内引流治疗的患者应警惕其术后复发。

Efficacy and prognosis of cystic wall sclerotherapy combined with arthroscopy for popliteal fossa cyst#br#

［Abstract］ Objective〖HTSS〗To explore the efficacy of cystic wall sclerotherapy combined with arthroscopic treatment of popliteal cyst and its impact on prognosis. 〖HTH〗〖WTHZ〗Methods〖HTSS〗Seventy cases of popliteal cyst were selected as research subjects. The patients were divided into observation group(n=38) and control group(n=32) according to the treatment method. The observation group was treated with cystic sclerosis combined with arthroscopy, and the control group was treated with arthroscope. The therapeutic effects of the two groups were observed, the Visual Angalogue Scale(VAS) scores and Lysholm scores of the two methods were evaluated. Logistic regression was used to analyze the risk factors of postoperative recurrence. 〖HTH〗〖WTHZ〗Results〖HTSS〗After treatment, the VAS scores of the two groups showed a downward trend, the Lysholm score showed an upward trend, and the observation group showed significant changes. the total rate of observation group was significantly higher than that of the control group(P＜0.05). the recurrence rate of the observation group after 5 years was lower than that of the control group(P＜0.05), the single factor analysis and multivariate analysis showed that operative time ≥1 h, postoperative infection, and lobulated cyst were independent risk factors for postoperative recurrence(P＜0.05). 〖HTH〗〖WTHZ〗Conclusion〖HTSS〗The long-term curative effect of cystic wall sclerotherapy combined with arthroscopy for the treatment of arthroscope is better, and the recurrence rate is lower, for patients with operation time ≥1 h, postoperative infection and lobulated cyst should be alert to postoperative recurrence.