关键词: 抽吸注药, 腕部腱鞘囊肿, 手术切除

Abstract: 【Abstract】〓Objective〓To compare the result of aspiration plus injection versus surgical excision in the treatment of ganglion of the wrist. Methods〓From January 2011 to August 2014, 131 patients with ganglion of the wrist were analyzed retrospectively. According to patients’ choice, they were divided into two groups: aspiration group (79 cases) and operation group (52 cases). Patients in the aspiration group underwent aspiration combined with compound of prednisolone or betamethasone injection. Patients in the operation group underwent surgical excision. Patient’s age, sex, location and size of the ganglion, treatment methods, recurrence and complications were recorded. Results〓Thirty-four of 79 cases (43.0%) in the aspiration group recurred, 6 of 52 cases (11.5%) in the operation group recurred, the difference between the two intervention groups was significant (P<0.01). Complications were recorded in 3 cases in the aspiration group (3.8%) and in 9 cases in the operation group. the difference between the two groups was significant (P<0.01). Conclusion〓Surgical excision was the more effective form of treatment with less recurrence,.but more damaging and higher complication rate..Aspiration plus injection was a convenience method with fewer complications,.but higher recurrence rate..The choice of intervention depends on the clinical circumstance such as symptoms and recurrent risk etc.

Key words: Excision, Wrist ganglion, Aspiration plus injection