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find Keyword "黏液囊肿" 3 results
  • CLASSIFICATION AND SURGICAL TREATMENT OF MUCOUS CYSTS OF DISTAL INTERPHALANGEAL JOINT

    Objective To investigate the self-made classification criterion for mucous cysts of distal interphalangeal joint and the effectiveness of the surgical treatment. Methods Between July 2008 and August 2015, 33 patients with mucous cysts of distal interphalangeal joint were treated, and the clinical data were retrospectively analyzed. Among 33 cases, 15 were male and 18 were female, aged from 45 to 74 years (mean, 58 years). The disease duration ranged from 3 weeks to 1 year (mean, 5 months). The cyst located at thumb in 18 cases, index finger in 4 cases, middle finger in 6 cases, ring finger in 4 cases, and little finger in 1 case. According to location, mucous cysts were typed: proximity to one side of the finger extensor tendon and deviation from the midline of the finger named lateral type (22 cases); and at both sides of the finger extensor tendon named intermediate type (11 cases). The bilateral digital dorsal incision was made in the intermediate type patients, and the reverse L-shaped incision was made in the lateral type patients, then the degenerative tissue was resected, the osteophyte was removed, and the capsule was repaired; finally, mucous cysts were resected. Results All the patients were followed up 4 months to 2 years (mean, 14.5 months). The incision healed by first intention without infection after operation. Clinical symptoms obtained improvement and no recurrence was observed in 29 patients except 4 patients who died of other diseases during follow-up. Conclusion A surgical treatment for mucous cysts of distal interphalangeal joint is feasible according to the self-made classification criterion and it has the advantage of simple operation and definite effectiveness.

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  • 远指(趾)间关节黏液囊肿深部切除疗效分析

    目的 总结保留皮下囊壁、深部切除方法治疗远指(趾)间关节黏液囊肿的疗效。 方法 2005 年4 月-2009 年5 月,采用保留皮下囊壁、深部切除方法治疗27 例36 处远指(趾)间关节黏液囊肿。男12 例16 处,女15 例20 处;年龄40 ~ 82 岁,平均55 岁。病程1 个月~ 3 年。手指21 例28 处,足趾6 例8 处。囊肿位于远指(趾)间关节单侧24 处,双侧7 处,两侧同发并相互连通5 处。囊肿范围0.6 cm × 0.4 cm ~ 2.2 cm × 1.7 cm。 结果 术后1 例2 处切口发生感染导致溃疡,经换药2 周后愈合;其余切口均Ⅰ期愈合。术后患者均获随访2 年。术中1 处肌腱损伤并发槌状趾,行关节融合术后治愈。术前临床症状均获改善。随访期间3 处囊肿复发,均再次手术后治愈。 结论 远指(趾)间关节背侧骨性及关节囊改变是黏液囊肿重要成因,保留皮下囊壁可修复关节囊,避免皮瓣修复切除后的皮肤组织缺损,深部彻底切除囊肿可有效避免复发。

    Release date:2016-08-31 05:42 Export PDF Favorites Scan
  • 阑尾黏液囊肿诊治分析

    目的探讨阑尾黏液囊肿的诊断与治疗方法。 方法回顾性分析笔者所在医院2012年1月至2015年3月期间收治的20例阑尾黏液性囊肿患者的临床资料。 结果本病主要临床表现为右下腹疼痛和腹部包块,术前无一确诊病例。行腹腔镜手术12例:腹腔镜下阑尾切除术5例,腹腔镜下盲肠部分切除4例,另3例因肿瘤较大而中转开腹行阑尾切除术;行开腹手术8例:阑尾切除术2例,盲肠部分切除3例,右半结肠切除术4例(其中1例患者行阑尾切除,术后病理报告为低级别阑尾黏液肿瘤,再追加二期手术,行右半结肠切除术)。术后获随访16例,随访时间4~36个月,平均16个月,肿瘤均无复发;失访4例。 结论阑尾黏液性囊肿临床罕见,术前诊断困难,腹腔镜手术可应用于本病的治疗。

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