[1]刘玉杰,薛静,周密,等.关节镜微创手术治疗膝骨性关节病伴Baker’s囊肿的价值[J].陆军军医大学学报(原第三军医大学学报),2008,30(15):1408-1410.
 LIU Yu-jie,XUE Jing,ZHOU Mi,et al.Value of arthroscopic surgery for knee osteoarthritis with Baker’s cyst[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(15):1408-1410.
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第15期
页码:
1408-1410
栏目:
论著
出版日期:
2008-08-15

文章信息/Info

Title:
Value of arthroscopic surgery for knee osteoarthritis with Baker’s cyst
作者:
刘玉杰薛静周密王志刚李众利魏民蔡谞朱娟丽
解放军总医院骨科
Author(s):
LIU Yu-jie XUE Jing ZHOU Mi WANG Zhi-gang LI Zhong-li WEI Min CAI Xu ZHU Li-juan
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China
关键词:
Baker’s囊肿骨关节炎半月板膝关节关节镜
Keywords:
popliteal cyst arthroscopic therapy knee joint osteoarthritis
分类号:
R684.3; R686.7; R687.4
文献标志码:
A
摘要:
目的  探讨关节镜微创技术对膝骨性关节病伴Baker’s囊肿的治疗价值。 方法  采用局麻关节镜微创技术治疗膝骨性关节病合并Baker’s囊肿34例。男性14例,女性20例,年龄53~66岁,平均61岁。术前行膝关节MRI检查28例,CT扫描14例,B超12例,Baker’s囊肿造影5例。影像学检查显示软骨退变26例,半月板损伤11例,囊肿与后关节囊相通28例,不通6例。关节镜下同期行膝关节清理与囊肿摘除术22例,分期囊肿摘除术12例。局麻关节镜下检查、半月板和软骨损伤创面清理,滑膜切削,然后改为俯卧位关节镜下Baker’s囊肿摘除术。将囊壁与周围组织剥离,刨削器吸引下清除囊壁组织,再用等离子刀冷凝止血,创面组织皱缩消融术。 结果  手术34例,术后获得随访31例,随访时间9~32个月,平均16个月。术后29例膝关节疼痛、肿胀、绞锁症状和Baker’s囊肿解除,下蹲活动和行走功能恢复正常,自觉疗效满意。无血管、神经损伤、伤口感染和下肢血栓形成。术后Baker’s囊肿复发2例为严重骨关节炎患者。 结论  关节镜下摘除Baker’s囊肿同期或分期膝关节清理术治疗膝骨性关节病伴Baker’s囊肿方法可行,且创伤小,有利于术后功能恢复,疗效满意。
Abstract:
Objective    To explore the feasibility of arthroscopic surgery for knee osteoarthritis with Baker’s cyst.     Methods    Thirty-four patients of knee osteoarthritis with Baker’s cyst were treated with arthroscopic techniques under local anaesthesia, 14 males and 20 females, aged from 53 to 66 years (average 61 years). Before operation, 28 cases underwent MRI scanning, 14 CT scanning, 12 ultrasonography, and 5 cystography. Under local anaesthesia, a routine arthroscopic inspection, debridement of cartilage and menisci, and synovium resection were carried out. Then the cyst wall was separated from surrounding tissues and removed. Radiofrequency coblation device was used to coagulate and remove the pathological tissues in the prone position.     Results    Imaging evaluation revealed that 26 cases were of cartilage degeneration and 11 of menisci injuries, and the Baker’s cysts of 28 cases were found to be communicated with the posterior capsule. All 34 cases were followed up for 9-32 months, averaging 16 months. Knee symptoms of pain, swelling, locking, and Baker’s cyst were relieved in 29 cases. The patients regained normal squatting and walking functions and felt satisfied. No vascular injuries, wound infections, or thrombosis were reported. The recurrence of Baker’s cyst in 2 cases was involved in severe knee osteoarthritis.     Conclusion    Arthroscopic resection of Baker’s cyst with joint debridement is an alternative procedure with less trauma, fast rehabilitation, and satisfied outcomes.

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更新日期/Last Update: 2008-07-24