腘窝囊肿的关节镜治疗学习教案

1、会计学1腘窝囊肿腘窝囊肿(nngzhng)的关节镜治疗的关节镜治疗第一页，共21页。第1页/共20页第二页，共21页。第2页/共20页第三页，共21页。Rauschning和Lndgren对腘窝囊肿评价(pngji)分级如表1：第3页/共20页第四页，共21页。第4页/共20页第五页，共21页。第5页/共20页第六页，共21页。第6页/共20页第七页，共21页。成功治疗的关键是膝关节内相关病损的处理和重建滑囊与关节腔正常(zhngchng)的双向流通,囊肿本身不应是外科治疗的主要目标!第7页/共20页第八页，共21页。第8页/共20页第九页，共21页。FIGURE 1. (A) Schemat

2、ic cross-section image of the knee with the opening of the connection. The image shows the location of the posteromedial portal and the anterolateral viewing portal. (P, popliteal cyst.) (B) Arthroscopic finding from the anterolateral portal of the right knee shows a connecting hole (curved arrow) a

3、t the posteromedial compartment that verifies the retraction of the capsular fold (C) by probing (straight arrow). (M, medial femoral condyle.)第9页/共20页第十页，共21页。FIGURE 2. (A) Arthroscopic finding from the anterolateral portal of the right knee shows that the capsular fold (C) was resected by basket f

4、orceps (arrow) inserted from the posteromedial portal. (B) Arthroscopic finding from the anterolateral portal of the right knee shows a yellowish cystic fluid that gushes out to the posteromedialcompartment by compressing the posteromedial part skin of the ballooned cyst. (M, medial femoral condyle.

5、)第10页/共20页第十一页，共21页。FIGURE 3. Arthroscopic finding of the anterolateral portal of theright knee shows an opening (curved arrow). The opening is shownat the posteromedial side of the medial head of the gastrocnemius(G) after the capsular fold was completely resected with a shaver(straight arrow) and

6、basket forceps. (M, medial femoral condyle.)第11页/共20页第十二页，共21页。FIGURE 4. (A) Schematic cross-sectional image of the knee with theopening of the connection. The image shows the location of theposteromedial viewing portal (b). (P, popliteal cyst.) (B) Arthroscopicfinding from the posteromedial portal

7、of the right knee showsseptation and loose fragments of the inside of the popliteal cyst.第12页/共20页第十三页，共21页。FIGURE 5. (A) Schematic cross-sectional image of the knee with the opening of the connection. The image shows the location of the posteromedial viewing portal (b) and the posteromedial cystic

8、portal (c). (P, popliteal cyst.) (B) Gross view of the right knee joint that was positioned for arthroscopic surgery for a popliteal cyst. The arthroscope was inserted through the posteromedial portal, anda motorized shaver was introduced from the posteromedial cystic portal. (C) Arthroscopic findin

9、g from the posteromedial portal of the right knee shows that a motorized shaver (S) was inserted to the inside of the popliteal cyst through the posteromedial portal. The cyst wall (W) was resected with the shaver.第13页/共20页第十四页，共21页。第14页/共20页第十五页，共21页。FIGURE 6. (A) A preoperative MR image (axial view) shows a huge popliteal cyst with multiple septation. (B) A follow-up (postoperative 9 months) MR image (axial view) shows that the popliteal cyst has disappeared.第15页/共20页第十六页，共21页。Pre-op第16页/共20页第十七页，共21页。第17页/共20页第十八页，共21页。第18页/共20页第十九页，共21页。第19页/共20页第二十页，共21页。NoImage