Diagnostic value and interventional treatment of elbow cyst by high frequency ultrasound.
10.12200/j.issn.1003-0034.2023.11.014
- Author:
Qi-Bing WU
1
;
Xiao-Lin SHI
1
;
Zhan-Sen E
1
;
Hong SHU
1
;
Hao ZHANG
1
;
Yi FAN
1
Author Information
1. Department of Ultrasound, Shenzhen Longgang Central Hospital, Shenzhen 518116, Guangdong, China.
- Publication Type:Journal Article
- Keywords:
Diagnostic;
Elbow cyst;
High frequency ultrasound;
Interventional therapy
- MeSH:
Male;
Female;
Humans;
Adult;
Young Adult;
Middle Aged;
Retrospective Studies;
Elbow;
Cysts;
Ultrasonography;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2023;36(11):1080-1084
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study and analyze the diagnostic value and interventional treatment value of high-frequency ultrasound for elbow cyst.
METHODS:From February 2018 to February 2021, the data of 60 patients with elbow cyst treated by high-frequency ultrasound interventional therapy were retrospectively analyzed, including 30 males and 30 females with an average age of (30.93±5.32) years old ranging from 20 to 54 years old. The course of disease ranged from 1 to 10 years with an average of (3.45±0.25) years. High-frequency ultrasound features of all patients were analyzed. The clinical efficacy, the occurrence of adverse events and the changes of psychological status before and after treatment were analyzed.
RESULTS:In 60 cases of elbow cyst, the cyst size was from 6 mm×7 mm to 111 mm×60 mm. The characteristics of ultrasonic images included such as most of the morphology was regular, which was round or oval, and a few were irregular;the boundary was clear, there was a capsule wall, most of the inside of the capsule was good, no echo;when accompanied by bleeding or infection, small dense points can be seen floating;the cystic wall of the patients with long course of disease was coarser, and the internal light bands were separated, showing multilocular shape;no significant blood flow signal was observed. Final results involved olecranon bursa cysts in 19 cases, annular ligament cysts in 10 cases, radial bursa cysts in 9 cases, accessory ligament cysts in 7 cases, epidermoid cysts in 4 cases, ganglion cysts in 6 cases, nerve sheath cysts in 5 cases. After treatment, 33 cases were cured, 16 cases had obvious effect, 11 cases were improved, 0 cases were invalid. After treatment, mild adverse events occurred in 1 case, moderate adverse events in 1 case, and severe adverse events in 0 cases, with a total incidence of 3.33% (2/60). After treatment, positive affect score (38.04±1.74) was higher than that before treatment (35.92±2.34), and negative affect score (24.61±1.51) was lower than that before treatment (30.15±3.46), with statistical significance(P<0.05).
CONCLUSION:High-frequency ultrasound has high diagnostic value for elbow cyst, and it has ideal effect in interventional therapy.
