| 庞伟峰,尹金强,李会军,等.肩关节镜下切除冈盂切迹囊肿的疗效分析.骨科,2025,16(4): 321-324. |
| 肩关节镜下切除冈盂切迹囊肿的疗效分析 |
| Curative effects of glenoid notch cyst resection under shoulder arthroscopy |
| 投稿时间：2025-02-26 |
| DOI：DOI：10.3969/j.issn.1674-8573.2025.04.006 |
| 中文关键词: 冈盂切迹囊肿 肩胛冈入路 肩胛上神经卡压综合征 盂唇损伤 肩袖 |
| 英文关键词: Glenoid notch cyst Scapular approach Suprascapular nerve entrapment syndrome Labral tear Rotator cuff |
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| 中文摘要: |
| 目的 探讨关节镜下切除冈盂切迹囊肿的临床方法及疗效。方法 回顾性分析2014年1月至2024年1月于北京大学第三医院就诊的29例经关节镜下治疗的冈盂切迹囊肿病人，其中男27例，女2例，年龄为（38.4±11.3）岁；8例合并盂唇损伤，5例合并肩袖损伤，均经盂唇裂口及肩胛冈入路（冈上肌和冈下肌间隙）完全切除囊肿；通过术后随访MRI明确囊肿是否复发，使用肩关节功能评价量表评估关节恢复情况。结果 29例病人的住院天数为（3.3±1.0）天，均未发现复发，术后无严重并发症，临床症状均较术前明显改善，肩关节功能评分由术前的（76.79±8.98）分提高至术后的（92.41±6.71）分，差异有统计学意义（P＜0.05）。结论 关节镜下切除冈孟切迹囊肿能够达到完全切除的目的，创伤小、恢复快，可作为冈盂切迹囊肿的首选治疗方法。 |
| 英文摘要: |
| Objective To explore the clinical method and curative effect of arthroscopic resection of glenoid notch cyst. Methods From January 2014 to January 2024, 29 patients with glenoid notch cyst treated under arthroscopy in Peking University Third Hospital were analyzed retrospectively, including 27 males and 2 females, aged (38.4±11.3) years. There were 8 cases complicated with labral tear and 5 cases with rotator cuff injury. All the cysts were completely removed through glenoid lip cleft and scapular approach (supraspinatus muscle and infraspinatus space). The recurrence of cyst was confirmed by postoperative follow-up MRI, and the recovery of joint was evaluated by shoulder function evaluation scale. Results The hospitalization days of 29 patients were (3.3±1.0) days. No recurrence was found, and there were no serious complications after operation. The clinical symptoms were significantly improved compared with those before operation. The score of shoulder joint function increased from 76.79±8.98 before operation to 92.41±6.71 after operation, with statistical significance (P＜0.05). Conclusion Arthroscopic resection of glenoid notch cyst can achieve the goal of complete excision, with less trauma and rapid recovery, and can be the first choice for the treatment of glenoid notch cyst. |
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