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首页> 外文期刊>Sports health >Treatment of Popliteal (Baker) Cysts With Ultrasound-Guided Aspiration, Fenestration, and Injection: Long-term Follow-up
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Treatment of Popliteal (Baker) Cysts With Ultrasound-Guided Aspiration, Fenestration, and Injection: Long-term Follow-up

机译：超声引导下穿刺，开窗和注射治疗Pop（贝克）囊肿：长期随访

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Background: The purpose of this study was to determine the efficacy of ultrasound-guided aspiration, fenestration, and injection as a treatment in patients with symptomatic popliteal cysts.HypothGSis: Ultrasound-guided aspiration, fenestration, and injection (UGAFI) is an effective and safe treatment option for symptomatic popliteal cysts.Study Design: Retrospective cohort study. Level of Evidence: Level 3.Methods: Patients who received a UGAFI of popliteal cysts from 2008 to 2011 were identified. Preaspiration (PA) and follow-up Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, cyst recurrence, complications, cyst complexity, and size were obtained and compared for statistical significance. UGAFI involved aspiration of fluid through a spinal needle, fenestration of the cyst walls and septations, and injection of 1 ml (40 mg) triamcinolone (Kenalog) and 2 mL 0.5% bupivacaine (Sensorcaine) into the decompressed remnant.Results: The mean PA WOMAC score (48.55) improved significantly at final follow-up (FFU) to 17.15 (P< 0.0001) for 47 patients. Within the WOMAC subcategories, there was also a significant difference in pain (PA, 10.68; FFU, 3-94; P< 0.0001), stiffness (PA, 4.51; FFU, 1.77; P< 0.0001), and physical function (PA, 31.34; FFU, 12.17; P< 0.0001). There were 6 reaspirations for recurrence (12.7%), and 1 patient underwent unicompartmental knee arthroplasty. There were no infections or other complications.Conclusion: Significant clinical improvement in patients with symptomatic popliteal cysts can be achieved via UGAFI as the sole treatment.Clinical Relevance: UGAFI is a safe and effective option as the sole treatment modality for symptomatic popliteal cysts.
机译：背景：本研究的目的是确定超声引导下的抽吸，开窗和注射治疗有症状的pop窝囊肿的疗效。HypothGSis：超声引导下的抽吸，开窗和注射（UGAFI）是一种有效且有效的方法有症状的pop神经囊肿的安全治疗选择。研究设计：回顾性队列研究。证据级别：级别3。方法：确定从2008年至2011年接受UGAFI pop肉囊肿的患者。获得了术前（PA）和随访的西安大略省和麦克马斯特大学骨关节炎指数（WOMAC）评分，囊肿复发，并发症，囊肿复杂性和大小，并进行了统计学比较。 UGAFI涉及通过脊髓针抽吸液体，囊壁和分隔开窗，并向减压的残余物中注射1 ml（40 mg）曲安西龙（Kenalog）和2 mL 0.5％布比卡因（Sensorcaine）。结果：平均PA最后的随访（FFU）时，WOMAC评分（48.55）显着提高至47名患者的17.15（P <0.0001）。在WOMAC子类别中，疼痛（PA，10.68; FFU，3-94; P <0.0001），刚度（PA，4.51; FFU，1.77; P <0.0001）和身体功能（PA， 31.34; FFU，12.17; P <0.0001）。有6例患者复发，占12.7％，其中1例患者接受了单室膝关节置换术。没有感染或其他并发症。结论：有症状的pop神经囊肿的唯一治疗方法是对有症状的pop神经囊肿患者进行重大的临床改善。临床意义：UGAFI作为有症状的pop神经囊肿的唯一治疗方法是一种安全有效的选择。

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