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胭窝囊肿发病的解剖学基础探讨 被引量:25

Anatomical basic study of Popliteal cysts
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摘要 目的探讨产生腘窝囊肿的解剖因素。方法对25侧成人膝关节标本进行解剖:a)观察半膜肌与腓肠肌内侧头滑液囊(gastrocnemius-semimembranosus bursa,GSB)是否存在,GSB与膝关节滑膜囊的关系;b)是否存在GSB与膝关节滑膜囊的通道口;c)向关节腔内注射生理盐水,观察当关节腔内压力增大后,生理盐水是否向GSB内外流。结果 a)所有标本均存在GSB,与膝关节滑膜腔相通占40%(10/25),其他均存在与膝关节滑膜腔的薄弱区;b)膝关节腔内压力增大时关节液向GSB内外流。结论正常人膝关节存在形成腘窝囊肿的解剖基础。 Objective To explore the anatomical factor of the producing the popliteal cysts.Methods 25 adult knee-specimens were dissected and measured.a)To observe whether there is the gastrocnemius semimembranosus bursa(GSB),and the relationship of GSB and knee articular cavity;b)whether there is a channel between GSB and knee articular cavity;c)inject physiological saline into joint,and observe whether physiological saline flowing to GSB as articular cavity pressure rising.Results a)There is GSB in every specimen,40%specimens(10/25) Communicates with knee articular cavity by a channel,and there is a weak area in every other specimen;b)Joint fluid flowing to GSB as articular cavity pressure rising.Conclusion There is anatomical basis forming popliteal cyst in normal knee.
出处 《实用骨科杂志》 2011年第9期812-813,共2页 Journal of Practical Orthopaedics
关键词 膝关节 腘窝囊肿 解剖 knee joint popliteal cysts anatomy
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参考文献6

  • 1Labropoulos N ,Shifrin DA,Paxinos O. New insights into the development of popliteal cysts[J]. Br J Surg, 2004,91 (10) : 1313-1318.
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二级参考文献5

  • 1JohnsonLL,vanDykGE,JohnsonCA ,etal.Thepoplitealbursa(Baker′scyst):anarthroscopicperspectiveandtheepidemiology[].Arthroscopy.1997
  • 2StoneKR,StollerD,DeCarliA ,etal.ThefrequencyofBaker′scysts[].Arthroscopy.2002
  • 3Sansone V,Sosio C,da Malcher M.Two cases of tibial nerve compression caused by uncommon popliteal cysts[].Arthroscopy.2002
  • 4Rupp S,Seil R,Jochum P,et al.Popliteal cysts in adults.Prevalence, associated intraarticular lesions, and results after arthroscopic treatment[].American Journal of Sports Medicine.2002
  • 5Handy JR.Popliteal cysts in adults: a review[].Seminars in Arthritis and Rheumatism.2001

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