文献类型：期刊文献

中文题名：腘窝囊肿的研究进展

英文题名：Research progress of popliteal cyst

作者：王增平[1];薛文[2];刘林[2]

第一作者：王增平

机构：[1]甘肃中医药大学研究生院;[2]甘肃省人民医院骨科

第一机构：甘肃中医药大学党委研究生工作部、研究生院

年份：2015

卷号：0

期号：10

起止页码：806

中文期刊名：中国骨与关节杂志

外文期刊名：Chinese Journal of Bone and Joint

收录：CSTPCD

语种：中文

中文关键词：腘囊肿;超声检查;磁共振成像;关节镜

外文关键词：Popliteal cyst; Ultrasonography; Magnetic resonance imaging; Arthroscopes

摘要：腘窝囊肿又称贝克氏囊肿[1-2],多见于中老年人,男性多于女性,在所有可能发生囊性变中最常见[3],多位于腓肠肌腱和半腱肌肌腹内侧弯处,经股骨内髁后方约4~24 mm的水平状裂口与膝关节腔相通[4]。此裂口在小孩中不存在,但随年龄增长而逐渐增大,且完整性递减。有学者认为此裂口在胚胎时即形成。Rauschning[5]观察到,无裂隙处组织变薄,仅是滑膜组织,即贝克尔最初的假设[1]。
Popliteal cyst, deep popliteal bursa swollen or knee joint synovial back bulging, can not only result in knee swelling and pain, but also touchable elasticmass. Unlike other periarticular bursae, it features itself by the connection with the knee joint via an opening in the joint capsule posterior to the medial femoral condyle. Many scholars believe that this valve-like mechanism relates with the cysts in adults. Popliteal cyst always associates with intra-articular lesions, which can be found in children occasionlly in physical examinations. It is chronic, persistent, and also is acute while the pseudothrombophlebitis cyst rupture occurrs. The ultrasonic and magnetic diagnosis is of high accuracy. Magnetic Resonance Imaging（ MRI） can also provide differential diagnosis reference, which is the first choice in recent years. The etiology, pathogenesis, clinical manifestations, diagnosis, differential diagnosis, and the latest research progress for popliteal cyst are reviewed in this paper. This paper also discusses and makes a comparison between conservative treatment, minimally invasive operation and invasive operation.