摘要
目的探讨髋关节滑膜囊肿压迫股静脉的临床诊断及治疗。方法回顾性分析2010年3月至2017年6月郑州大学第一附属医院13例髋关节滑膜囊肿压迫股静脉病例的临床资料及随访结果。结果所有患者均接受了彩色多普勒检查。5例（38．4％）患者接受了计算机断层扫描检查。8例（61．6％）患者接受核磁共振检查。12例患者手术切除成功率100％，均完整切除囊肿。术后病理结果均证实为滑膜囊肿。术后随访时间1～62个月，中位随访时间为24个月，平均24．8个月，12例手术患者目前均未出现相应症状复发，1例仅行经皮穿刺引流患者术后1个月症状复发。结论手术切除是压迫股静脉的髋关节滑膜囊肿的首选治疗方式。
Objective To investigate the diagnosis, treatment and outcomes of femoral vein compression by the synovial cyst of the hip joint. Methods A retrospective study was performed on 13 patients with femoral vein compression from the hip joint synoviaJ cyst between March 2010 and June 2017. Results All the patients received Doppler ultrasound exam. Five （ 38% ） patients received CT. Eight （61.6%） patients received MRI. Surgeries were performed and successful in 12 cases, the synovial cysts were completely removed. All postoperative pathologic results were confirmed as synovial cyst. The median follow-up time was 24 months without recurrence . One patient treated by percutaneous needle aspiration suffered from early cyst recurrence one month after the procedure. Conclusions Surgical excision is the preferred treatment method, postoperative symptoms improve significantly without cyst recurrence.
出处
《中华普通外科杂志》
CSCD
北大核心
2018年第1期53-56,共4页
Chinese Journal of General Surgery
关键词
滑膜囊肿
髋关节
股静脉受压
下肢肿胀
Synovial cyst
Hip joint
Femoral vein compression
Lower extremity swelling
