未经证实:坐骨结节囊肿是一种常见病,传统的切口手术有几个缺点,导致不满意的治疗结果。该研究的目的是评估关节镜治疗坐骨结节囊肿的临床效果,并将其与常规切口手术进行比较。回顾性分析2016年5月至2018年9月57例坐骨结节囊肿患者的临床资料。根据纳入和排除标准,共纳入49例患者.在这些病人中,24例患者接受关节镜手术(N=24),25例患者接受常规切口手术(N=25)。操作时间,术中失血,术后引流,术后住院时间,比较两组患者术后并发症。视觉模拟评分用于评估1天的疼痛,1周,手术后1个月。49例患者均获随访(11.3±3.3)个月。关节镜组患者均达到Ⅰ期愈合,常规切口组3例出现并发症。操作时间,术中失血,术后引流,关节镜组住院时间为(54.7±7.7)min,(20.8±3.5)mL,(20.3±5.6)mL,和(2.8±0.6)天,明显优于(71.8±8.8)分钟,(67.3±12.0)mL,(103.6±20.3)mL,常规切口组(7.8±2.9)天,分别。在关节镜组,1天的视觉模拟量表评分,1周,术后1个月[(2.6±0.7),(0.5±0.6),(0.3±0.5)分]均明显低于常规切口组[(6.0±0.7),(3.0±1.0),和(1.1±1.0)点],差异有统计学意义(P<0.05)。最后,两组术后并发症发生率比较差异无统计学意义(P>0.05)。在坐骨结节囊肿的治疗中,关节镜具有微创的优点,围手术期失血减少,术后疼痛较轻,与传统切口手术相比,恢复快。
UNASSIGNED: Ischial tuberosity cyst is a common disease, and the conventional incision procedure is associated with several disadvantages, leading to unsatisfactory therapeutic outcomes. The aim of the
study was to evaluate the clinical outcomes of arthroscopic treatment for ischial tuberosity cyst and compared it with conventional incision surgery.The clinical data of 57 patients with ischial tuberosity cyst from May 2016 to September 2018 were retrospectively analyzed. According to the inclusion and exclusion criteria, a total of 49 patients were included. Of these patients, 24 patients received arthroscopic procedure (N = 24) and 25 patients received conventional incision procedure (N = 25). The operation time, intraoperative blood loss, postoperative drainage, postoperative hospital stay, and postoperative complications were compared between the 2 groups. Visual analogue scale scores was used to evaluate pain at 1 day, 1 week, and 1 month after the surgery.All 49 patients were followed up for (11.3 ± 3.3) months. All patients in the arthroscopy group achieved phase I healing while 3 patients in conventional incision group developed complications. The operation time, intraoperative blood loss, postoperative drainage, and hospital stay in the arthroscopy group were (54.7 ± 7.7) minutes, (20.8 ± 3.5) mL, (20.3 ± 5.6) mL, and (2.8 ± 0.6) days, and were significantly better than those of (71.8 ± 8.8) minutes, (67.3 ± 12.0) mL, (103.6 ± 20.3) mL, and (7.8 ± 2.9) days in the conventional incision group, respectively. In the arthroscopy group, the visual analogue scale scores at 1 day, 1 week, and 1 month after the surgery [(2.6 ± 0.7), (0.5 ± 0.6), (0.3 ± 0.5) points] were significantly lower than those in the conventional incision group [(6.0 ± 0.7), (3.0 ± 1.0), and (1.1 ± 1.0) points], and the differences were statistically significant (P < .05). Finally, no significant difference was observed in the incidence of postoperative complications between the 2 groups (P > .05).In the treatment of ischial tuberosity cysts, arthroscopy has advantages of minimal invasion, less blood loss during perioperative period, milder postoperative pain, and rapid recovery when compared with conventional incision surgery.