一个病例系列的后结核贝克囊
Jujhar Singh1, Vedant Bajaj1, Himanshu Bansal1
1Department of Orthopaedics, Dr. Baba Saheb Ambedkar Medical College & Hospital, New Delhi, India.
Journal of clinical orthopaedics and trauma
|August 19, 2024
概括
结核病后的贝克囊,通常是膝关节问题的次要原因,可能会导致胀. 治疗,包括保守或手术方法,导致患者疼痛和功能改善.
科学领域:
- 整形外科手术 整形外科手术
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
背景情况:
- 贝克氏囊 (popliteal) 是由胃半膜半膜囊的膨胀引起的.
- 在成年人中,贝克囊通常是膝关节病理导致排泄的次要原因.
- 呈现方式从轻微的胀到破裂,导致下肢缺血.
研究的目的:
- 评估结核后贝克囊的治疗结果.
- 评估保守和手术干预后的功能恢复.
主要方法:
- 在2018年9月至2021年9月期间对12名患有结核后贝克囊的患者进行了回顾性研究.
- 患者接受了保守的治疗 (吸收,药物治疗) 或开放的切除术.
- 使用视觉模拟尺度 (VAS) 疼痛评分和Lysholm膝盖评分在基线和治疗后1,6和12个月评估的功能结果.
主要成果:
- 8名患者进行了保守的治疗,4名患者接受了大型多部位囊的手术.
- 复杂囊患者的平均年龄为44.92±5.07岁.
- 所有患者的VAS疼痛和Lysholm膝盖得分都有所改善,在1年的随访中,结果非常出色.
结论:
- 复杂,多部位的结核后贝克囊往往需要手术干预.
- 及时干预,彻底的准备工作和适当的医疗管理可以导致出色的功能结果.
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