Curative effect of hyperbaric oxygen therapy combined with total arthroscopy in 45 cases of popliteal cyst
10.3760/cma.j.cn311847-20211102-00294
- VernacularTitle:高压氧辅助全关节镜微创治疗腘窝囊肿45例疗效观察
- Author:
Qiang ZHOU
1
;
Honglei CHEN
;
Yulun MAO
;
Zhanchao WANG
;
Jiye HE
Author Information
1. 上海新华医院崇明分院骨科，上海 202150
- Publication Type:Journal Article
- Keywords:
Hyperbaric oxygen;
Total arthroscopy;
Minimally invasive treatment;
Popliteal cyst
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2022;29(1):48-51,56
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical curative effect of hyperbaric oxygen（HBO）combined with total arthroscopy in the treatment of popliteal cyst.Methods:From June 2015 to January 2020，the clinical data of 85 patients with popliteal cyst who received total arthroscopic minimally invasive surgery in Department of Orthopedics，Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine and Department of Adult Orthopedics，Xinhua Hospital Chongming Branch were collected. According to different treatments，patients were divided into observation group（ n=45）and control group（ n=40）. The control group received total arthroscopic minimally invasive surgery while the observation group was additionally treated by hyperbaric oxygen therapy. Visual analogue scale（VAS）was used to evaluate the pain during the 72 hours after operation. Postoperative ambulation time and length of hospital stay were also recorded. Lysholm scoring system was used to evaluate knee function. The therapeutic efficacy was assessed by Rauschning-Lindgren grading. All the patients were followed up for one year to record the recurrence of cysts. Results:After treatment，the postoperative ambulation time and length of hospital stay of the observation group were obviously reduced compared with those of the control group，and its VAS score was lower than that of the control group，with significant statistical differences（ P<0.05）. The Lysholm scores of the two groups seven days after treatment were significantly higher than that before treatment，and the Lysholm score of the observation group markedly was higher than that of the control group after treatment，with significant statistical difference（ P<0.05）. After treatment，the total effective rate of the observation group（93.3%）was remarkably higher than that of the control group（77.5%），with significant statistical difference（ P<0.05）. The recurrence rate of popliteal cyst in the observation group（6.7%）was significant different from that in the control group（17.5%）（ P<0.05）. Conclusion:HBO combined with total arthroscopic minimally invasive surgery in the treatment of popliteal cyst has the advantages of small incision，light pain，rapid recovery，which can quickly restore the function of knee joint with low recurrence rate and significant curative effect.
