| Objective To compare the efficacy of wrist arthroscopy drainage technique and open surgery in the treatment of wrist ganglion cyst.Methods From April 2017 to January 2023, 42 patients diagnosed with wrist ganglion cyst of intra-articular origin who were scheduled for surgical treatment in the Second People's Hospital of Liaocheng were selected and randomly divided into two groups according to the random classification method. In the arthroscopy group, 21 patients underwent wrist arthroscopy drainage technology treatment, 21 cases in the open surgery group underwent open surgical resection, and were followed up for at least 1 year after surgery. The wrist function score (PRWE score), wrist pain (VAS score), incision scar (SCAR score), patient satisfaction with incision appearance, cyst recurrence and postoperative complications were compared between the two groups.Results All patients were followed up for 12 to 36 months, with an average of (23.36±9.19) months. According to the statistical analysis of the last follow-up records, the wrist function in both the arthroscopy group and the open surgery group was good (PRWE score [7.29±2.70] vs [8.67±2.67]), with no significant difference (P>0.05). The degree of wrist pain in the arthroscopy group was lower than that in the open surgery group [VAS score (1.10±1.04) vs (2.38±1.63)], with a significant difference (P<0.05). The degree of incision scar hyperplasia in the arthroscopy group was lower than that in the open surgery group [SCAR Beauty Score (0.52±0.60) vs (2.67±1.53)], the difference was statistically significant (P<0.05). Patients in the arthroscopy group were more satisfied with the aesthetics of the incision after surgery [VAS score (97.62±1.72) vs (89.05±3.46)], the difference was statistically significant (P<0.05). The recurrence rate of wrist cysts in the arthroscopy group was lower than that in the open surgery group (4.76% vs 14.29%, P<0.05), the difference was statistically significant (P<0.05). The incidence of postoperative complications in the arthroscopy group was lower than that in the open surgery group (0% vs 19.05%), the difference was statistically significant (P<0.05).Conclusion Wrist arthroscopy drainage for the treatment of wrist ganglion cysts is a minimally invasive and effective treatment method. Compared with open surgery, it has a low postoperative cyst recurrence rate, fewer complications, and higher patient satisfaction. It can be used as a valuable treatment option for wrist ganglion cysts. |
