Comparing two surgical treatment methods for mucous cysts of the distal interphalangeal joint in elderly patients
10.3760/cma.j.issn.0254-9026.2018.07.020
- VernacularTitle:两种手术方法治疗老年人手指远指间关节黏液囊肿疗效比较
- Author:
Jingyu ZHANG
1
,
2
;
Yongcheng HU
;
Yunpeng ZHANG
;
Shunhong GAO
;
Zhiliang YU
Author Information
1. 300211 天津医科大学天津医院骨肿瘤科
2. 063000 唐山市第二医院手二科
- Keywords:
Mucocele;
Osteophyte;
Surgical flaps;
Pedicle resection
- From:
Chinese Journal of Geriatrics
2018;37(7):809-812
- CountryChina
- Language:Chinese
-
Abstract:
Objective To contrast and compare two surgical treatments for mucous cysts of the distal interphalangeal joint.Methods Clinical data from April 2004 to January 2016 were retrospectively analyzed.Patients who underwent tumor excision,osteophyte excision,and local flap coverage were assigned into a flap group(n=16),while patients who received osteophyte excision,cyst pedicle resection,and cystic fluid drainage were assigned into a simple osteophyte resection group(n=17).Procedure time,pain,satisfaction score,and hand function were compared between the two groups.Results Patients in the flap group were followed up for 14 to 28 months(mean=19.5 months);the simple osteophyte resection group for 15 to 26 months(mean=20.5 months).There was no recurrence in either group.The rate of excellent efficacy was 81.25 ％ (13/16)for the skin flap group and 82.35 ％ (14/17) for the simple osteophyte resection group,and the difference was not statistically significant(x2=0.007,P ＞ 0.05).Pain relief was achieved in both groups after operation,and the postoperative satisfaction score was higher than the pre-operation score.There was no statistical difference in pre operation pain and satisfaction scores (t 0.14 and 0.35,both P ＞ 0.05),no statistical difference in postoperative pain scores(t =-0.09,P ＞ 0.05),but a statistically significant difference in postoperative satisfaction scores (t =-4.15,P ＜ 0.05) between the two groups.Conclusions Two surgical treatments of mucous cysts can achieve satisfactory aesthetic and clinical outcomes.The simple osteophyte resection method is characterized by a short procedure time and a high level of postoperative satisfaction,but it requires training in microsurgery.Local flap coverage is simple and suitable for lower level hospitals where staff surgeons may lack microsurgical skills,but it may result in certain minor injuries.
