| 摘要: |
| 目的:研究关节腔开窗治疗手指黏液囊肿的应用有效性与安全性。方法:选择2021年1月—2023年1月在本院诊治的手指黏液囊肿患者80例，根据随机数字表法把其分为开窗组与传统组两组，每组各40例。开窗组给予关节腔开窗治疗，传统组给予单纯囊肿切除治疗，比较两组的手术效果及安全性。结果:所有患者均顺利完成手术，术后切口均Ⅰ期愈合，开窗组的手术时间、术中出血量、术后住院时间显著少于传统组(P <0.05)。开窗组术后1 d、术后7 d、术后14 d的疼痛VAS评分低于传统组，差异有统计学意义(P <0.05)。开窗组术后3个月的疗效优良率为97.5%，传统组为85.0%，开窗组显著高于传统组(P <0.05)。开窗组术后3个月的感染、出血、神经损伤等并发症发生率为2.5%，低于传统组的17.5%(P <0.05)。所有患者随访时间为(32.10±2.18)个月，开窗组的复发率为2.5%，低于传统组的17.5%，差异有统计学意义(P <0.05)。结论:关节腔开窗治疗手指黏液囊肿能减少术中出血量、术后住院时间，缓解患者的疼痛，也能提高疗效优良率，降低并发症发生率及复发率。 |
| 关键词: 关节腔开窗治疗 手指黏液囊肿 并发症 复发 有效性 安全性 |
| DOI：10.3969/j.issn.1007-6948.2025.05.020 |
| 投稿时间：2024-12-01 |
| 基金项目: |
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| Effectiveness and safety of joint cavity fenestration in the treatment of finger mucinous cysts |
| LIU Ya-jing,XU Guo-dong |
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| Abstract: |
| Objective To study the effectiveness and safety of joint cavity fenestration in the treatment of finger mucinous cysts. Methods From January 2021 to January 2023, 80 cases of patients with finger mucinous cysts treated in our hospital were selected as the research subjects. According to the random number table method, the 80 patients were divided into the fenestration group and the traditional group, 40 cases each group. The fenestration group received joint cavity fenestration treatment, while the traditional group received simple cystectomy treatment. The effectiveness and safety of both groups were recorded. Results All patients successfully completed the surgery, and the postoperative incisions healed in stage I. The surgical time, the intraoperative bleeding and postoperative hospitalization time in the fenestration group were significantly less than those in the traditional group (P <0.05). The pain VAS scores of the fenestration group were significantly reduced compared to the traditional group on postoperative day 1, 7, and 14 (P <0.05). The excellent and good efficacy rate of the fenestration group after 3 months of surgery was 97.5%, while that of the traditional group was 85.0%. The fenestration group was significantly higher than the traditional group (P <0.05). The incidence of complications such as infection, bleeding, and nerve damage 3 months after surgery in the fenestration group was 2.5%, while in the traditional group it was 17.5%. The window opening group was significantly lower than the traditional group (P <0.05). All patients were followed up with an average follow-up time of (32.10±2.18) months. The recurrence rate of the fenestration group was 2.5%, while that of the traditional group was 17.5%. The window opening group was significantly lower than the traditional group (P <0.05). Conclusion Joint cavity fenestration treatment for finger mucinous cysts can reduce intraoperative bleeding, postoperative hospitalization time, promote pain relief in patients, improve the rate of excellent and good therapeutic effects, reduce the incidence of complications in patients, and also reduce the recurrence rate during follow-up. |
| Key words: Joint cavity fenestration treatment finger mucinous cyst complication recurrence effectiveness security |
