摘要
目的总结腕部滑膜腱鞘肿物的治疗情况，探究腕部滑膜腱鞘肿物的诊断和治疗。方法选取2006-2014年佛山市中医院骨二科收治的36例腕部滑膜腱鞘肿物的患者进行x线、CT及MRI检查，然后对其行手术治疗，切除滑膜腱鞘上病灶组织，作病理学分析；术后观察症状的改善、神经肌电图、肌腱活动情况的变化来评估手术疗效；术后随访6～18个月，观察患者的复发率。结果x线组诊断率为75％、CT组诊断率83．3％、MRI组诊断率88．9％、病理学诊断率100％；切口甲级愈合率69．4％，乙级愈合率30．6％；腕部肌腱活动功能恢复优秀26例，占72．2％；良好6例，占16．7％；差4例，占11．1％。结论对16例腕部滑膜腱鞘肿物的患者临床特点进行分析，通过手术治疗的效果显著，复发率低，患者的治疗效果显著，腕部功能恢复良好，临床价值高。
Objective To summarize the wrist of the synovial sheath neoplasm treatment,to explore the diagnosis and treatment of the wrist synovial sheath neoplasm. Methods Selection our department from2006 to 2014 patients with surgical treatment of 16 cases of wrist of the synovial sheath neoplasm,with X- ray,CT and MRI,then render surgery,removal of the synovial sheath on the focal organization,pathology analysis; improve postoperative observation of symptoms,nerve,tendon of flesh report graph the change of the activity to evaluate the surgical curative effect; were followed up for 6 to 18 months postoperatively,the recurrence rate were observed. Results X quad diagnostic rate was 75%,CT diagnosis,MRI diagnostic rate 81. 3% and 87. 5%,pathology,diagnosis rate 100%; Class a healing of incision rate is 62. 5%,class b healing rate was 37. 5%; The wrist tendons activity functional recovery,10 cases were excellent,accounted for 62. 5%; Good 4 cases, accounting for 25. 0%;,2 cases( 12. 5%). Conclusion 16 cases of wrist of the synovial sheath neoplasm patients clinical characteristics were analyzed,and through the surgical treatment effect is remarkable,the recurrence rate is low,the treatment of patients with obvious effect,recovery of wrist function is good,high clinical value.
出处
《广东微量元素科学》
CAS
2015年第7期47-51,共5页
Trace Elements Science
关键词
滑膜腱鞘
肿物
诊断
治疗
synovial sheath
neoplasm
diagnosis
treatment
