摘要
Abstract
Objective To investigate the clinical effect of arthroscopic excision using Wide-awake technology(wide awake local anesthesia no tourniquet,WALANT)of recurrent children's wrist ganglions.Methods A retrospective analysis was conducted on the case data of 37 children with recurrent wrist ganglions in Huangshi Love&Health Hospital Affiliated of Hubei Polytechnic University between January 2017 and June 2022.All unilateral lesions underwent arthroscopic excision using the wide-awake technique.Postoperative patient satisfaction,recurrence rate,complications and Cooney wrist function assessment were evaluated.Results The follow-up period ranged from 8 to 15 months,with an average of 13.3 months.There were no recurrences cases during the follow-up,the children exhibited normal wrist appearance,with no visible scars,high satisfaction,and no surgical complications.According to the Cooney wrist function evaluation criteria,the postoperative scores of the 37 patients were(93±5)points,showing a significant improvement compared to the preoperative scores,with statistically significant differences(P<0.05).Conclusion Wrist arthroscopy based on Wide-awake technology is a safe,minimally invasive,rapid recovery,less complications,low recurrence rate and beautiful incision for the treatment of recurrent children's wrist ganglions.关键词
关节镜/Wide-awake技术/复发性/儿童/腕部腱鞘囊肿Key words
Arthroscopy/Wide awake local anesthesia no tourniquet/Recurrent/Children/Wrist ganglions分类
医药卫生