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

摘要： 【摘要】 目的 比较抽吸注药治疗与手术切除对腕部腱鞘囊肿的疗效。方法〓对2011年1月至2014年8月间我院门诊诊治的131例腕部腱鞘囊肿患者进行回顾性分析,根据病人的自愿选择分为抽吸注药组(79例)及手术组(52例)。抽吸注药组行囊肿穿刺抽吸及强的松龙或得宝松混悬液注入,手术治疗组行手术切除。记录两组病人的一般资料(年龄、性别、囊肿部位及大小),囊肿复发及并发症发生情况。结果〓抽吸注药组34例复发(43.0%),手术组6例复发(11.5%),两组差异有统计学意义(P<0.01)。并发症方面,抽吸注药组3例出现并发症(3.8%),手术组9例出现并发症(17.3%)两组差异有统计学意义(P<0.01)。结论〓手术治疗疗效明显且复发率低,但手术创伤大,并发症发生率高。抽吸注药治疗操作简便,并发症少,但复发率较高;临床上应根据具体情况选择。

关键词: 抽吸注药, 腕部腱鞘囊肿, 手术切除