腱鞘囊肿
Ganglion cyst | |
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同义词 | Ganglia/synovial cyst[1] Gideon's disease, Olamide's cyst, Bible cyst, Bible bump[2] |
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出现在左手手腕背侧附近的一个腱鞘囊肿 | |
症状 | 关节或腱鞘附近的小软肿块[3] |
并发症 | 腕隧道症候群 桡动脉压迫[4] |
起病年龄 | 15-40岁[3] |
类型 | 囊肿 |
诊断方法 | 取决于病征[4] |
鉴别诊断 | 脂肪瘤 表皮样包涵囊肿 痛风 血管瘤[4] |
治疗 | 随访观察 夹板固定受影响关节 针吸取 外科手术[3] |
预后 | 不严重[3] |
患病率 | 约3人/10,000人每年(手腕及手掌)[5] |
分类和外部资源 | |
医学专科 | 整形外科 |
ICD-11 | FB42.2 |
ICD-10 | M67.4 |
DiseasesDB | 31229 |
eMedicine | 1243454 |
腱鞘囊肿(ganglion cyst)是发生在腱鞘或关节囊附近内含黏液的囊肿[3],囊肿壁主要由致密结缔组织组成[6]。以往将腱鞘囊肿与滑膜囊肿视为同一疾病,但现在因组织学与治疗方式的不同已将两者区分,前者由结缔组织的黏液样变性造成[7],而后者则由滑膜的疝出造成[8][9][10]。此外,英语命名 ganglion 亦为一历史误称[11][12]。
腱鞘囊肿最容易发生于手腕背侧,其次是手腕掌侧[3][4]。腱鞘囊肿一般会持续一月以上[4]。一般来说,腱鞘囊肿发生后不会有其它症状,但可能偶尔伴有疼痛或麻木[3]。腕隧道症候群是腱鞘囊肿的并发症之一[4]。腱鞘囊肿的病因目前尚未阐明,健身可能是诱因之一[3]。一般来说,使用光照射囊肿区域即可进行诊断。使用医学影像学的手段能排除其它相似似疾病的可能性[3][4]。
针对腱鞘囊肿的治疗方法包括随访观察、夹板固定受影响关节、针吸取,或外科手术[3]。在超过半数的病例中,腱鞘囊肿会自愈。根据统计,每年一万人中大约有3人会得手腕或手掌的腱鞘囊肿[5]。腱鞘囊肿多发于青年女性和中年女性[3]。尝试用书本打击患处进行治疗并不是一个明智的选择[4]。
参考资料
- ^ National Library of Medicine - Medical Subject Headings (MeSH) - Ganglion Cyst. [August 27, 2013]. (原始内容存档于March 10, 2016).
- ^ E-hand.com The Electronic Textbook of Hand Surgery. The American Society for Surgery of the Hand assh.com. [April 12, 2014]. (原始内容存档于2014-03-09).
- ^ 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 Ganglion Cyst of the Wrist and Hand-OrthoInfo. orthoinfo.aaos.org. March 2013 [10 June 2017]. (原始内容存档于2017-07-06).
- ^ 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 Ferri, Fred F. Ferri's Clinical Advisor 2015 E-Book: 5 Books in 1. Elsevier Health Sciences. 2014: 472. ISBN 9780323084307. (原始内容存档于2017-09-10) (英语).
- ^ 5.0 5.1 Cooney, William P. The Wrist: Diagnosis and Operative Treatment. Lippincott Williams & Wilkins. 2011: 1089. ISBN 9781451148268. (原始内容存档于2017-09-10) (英语).
- ^ Thomas H. Berquist. MRI of the Musculoskeletal System. Lippincott Williams & Wilkins. 2012: 939. ISBN 9781451109184.
- ^ Gregush RE, Habusta SF. Ganglion Cyst. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470168/ (页面存档备份,存于互联网档案馆)
- ^ Giard MC, Pineda C. Ganglion cyst versus synovial cyst? Ultrasound characteristics through a review of the literature. Rheumatol Int. 2015 Apr;35(4):597-605. doi: 10.1007/s00296-014-3120-1. Epub 2014 Sep 5. PMID 25190552.
- ^ Neto, N., Nunnes, P. Spectrum of MRI features of ganglion and synovial cysts. Insights Imaging 7, 179–186 (2016). https://doi.org/10.1007/s13244-016-0463-z
- ^ Vanhoenacker, F.M. (2023). Synovial Cysts, Ganglion Cysts, and Bursae. In: Vanhoenacker, F.M., Ladeb, M.F. (eds) Imaging of Synovial Tumors and Tumor-like Conditions. Medical Radiology. Springer, Cham. https://doi.org/10.1007/174_2023_419
- ^ J.C. Segen (1992). The Dictionary of Modern Medicine. CRC Press. ISBN 9781850703211. Archived from the original on 2017-09-10. (see the entry for aneurysmal bone cyst, which "like pyogenic granuloma and ganglion cyst, a misnomer that has withstood the sands of time and the dint of logic")
- ^ See Hippocrates' "On the Articulations" (part 40) at Wikisource
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