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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Ultrasound-guided percutaneous treatment of volar radiocarpal ganglion cysts: Safety and efficacy
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Ultrasound-guided percutaneous treatment of volar radiocarpal ganglion cysts: Safety and efficacy

机译：超声引导的vlar radiocarpal神经节囊肿的经皮治疗：安全性和疗效

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Purpose To determine the safety and efficacy of ultrasound (US)-guided percutaneous treatment of volar radiocarpal ganglion cysts. Methods The institutional review board approved the retrospective study of patients referred for US-guided percutaneous treatment of a volar radiocarpal ganglion cyst over a 5-year period. Treatment consisted of a combination of aspiration, lavage using anesthetic, wall fenestration, and steroid injection. Intraprocedural imaging and procedure notes were reviewed. Followup information was retrieved from postprocedure electronic medical records. Results Eighty-eight patients comprised our study group. Complete decompression of the ganglion cyst was achieved in 92% of cases immediately after treatment. There were no instances of hematoma or infection. Of 38 patients with available followup information, 66% had a ganglion cyst recurrence at a median time of 9 months, regardless of their initial size or the injection of steroids. Cysts with internal septa had a statistically significantly higher rate of recurrence (P = 0.033). Conclusions US-guided percutaneous treatment of volar radiocarpal ganglion cysts is safe and ensures immediate decompression in most cases. However, cysts may recur, even after steroid injection or lavage.
机译：目的是确定超声（US） - 模糊的经皮治疗Volar radiocarpal神经节囊肿的安全性和有效性。方法制度审查委员会批准了对5年期间vlar radiocarpal神经大耳囊囊肿的患者的回顾性研究。治疗包括使用麻醉，墙壁衰生和类固醇注射的吸入，灌洗组合。审查了跨跨性成像和程序说明。从后处理电子医疗记录中检索后续信息。结果88名患者组成了我们的研究组。在治疗后立即在92％的病例中完成了神经节囊肿的完全减压。没有血肿或感染的情况。在38名患者中，可用的后续信息，66％的神经节囊肿复发在9个月的中位数，无论它们的初始大小还是注射类固醇。具有内部隔膜的囊肿具有统计学上显着的复发率（P = 0.033）。结论美国引导的vlar radiocarpal神经节囊肿是安全的，在大多数情况下确保立即减压。然而，即使在类固醇注射或灌洗之后，囊肿也可能会复发。

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