史玉仓 周志红 龚鑫沁 叶犀皓 吴泽勇 黄海华 吴志远 梁杰

    [摘要]目的：初步探讨B超引导下1 470 nm激光联合聚桂醇泡沫硬化剂治疗腱鞘囊肿的临床疗效。方法：113例腱鞘囊肿按治疗方法分为A组(微创组)，B组(外科手术组)。A组61例采用B超引导下1 470 nm激光消融、聚桂醇硬化治疗;B组52例采用传统手术方法，术后随访6～24个月，复查B超，比较两组之间的有效率、复发率、并发症发生率。结果：A组治疗后，56例治疗有效，5例复发，并发症4例;B组治疗后，40例有效，12例术后复发，并发症10例。A组有效率高于B组，差异具有统计学意义(P<0.05);A组复发率、并发症发生率均低于B组(P<0.05)。结论：B超引导下1 470 nm激光联合聚桂醇治疗腱鞘囊肿效果良好，且较外科手术可有效降低复发率与并发症的发生率。

    [关键词]腱鞘囊肿;激光;超声;硬化治疗;聚桂醇

    [中图分类号]R686.1? ?[文献标志码]A? ? [文章编号]1008-6455(2022)04-0052-03

    Clinical Eeffect of Lauromacrogol Combined with 1 470 nm Laser in the Treatment of Ganglion Cyst Under Ultrasound

    SHI Yucang，ZHOU Zhihong，GONG Xinqin，YE Xihao，WU Zeyong，HUANG Haihua，

    WU Zhiyuan，LIANG Jie

    (Department of Plastic Surgery，Affiliated Hospital of Guangdong Medical University，Zhanjiang 524001，Guangdong，China)

    Abstract： Objective To investigate the clinical efficacy of B-ultrasound guided Lauromacrogol combined with 1 470 nm laser in the treatment of ganglion cysts. Methods Retrospective analysis 113 cases of ganglion cysts treated in our hospital and divided them into group A (minimally invasive group) according to the treatment method ......