中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (7): 486-489.doi: 10.12144/zgmfskin202507486

• 论著 • 上一篇    下一篇

皮瓣修复联合导管结扎治疗指（趾）端黏液样囊肿28例疗效评价

曹楠1，2,谢凯1，2,谢卫星1，2,王学庆1，2,武宜雷1，2,张广亮1，2   

  1. 1山东第一医科大学附属皮肤病医院，山东济南，250022；2山东省皮肤病性病防治研究所，山东济南，250022
  • 出版日期:2025-07-15 发布日期:2025-07-04

Efficay of skin flap repair combined with catheter ligation for treating finger or toe myxoid cysts treated in 28 cases

CAO Nan1，2, XIE Kai1，2, XIE Weixing1，2, WANG Xueqing1，2, WU Yilei1，2, ZHANG Guangliang1，2   

  1. 1 Dermatology Hospital of Shandong First Medical University, Jinan 250022, China；2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2025-07-15 Published:2025-07-04

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摘要： 目的：评价皮瓣修复联合导管结扎治疗远端指（趾）端黏液样囊肿的疗效。方法：回顾性分析我院2023年6月至2024年6月采用囊肿切除术、囊肿导管远端结扎及皮瓣修复创面的方式进行治疗的远端指（趾）间关节黏液样囊肿患者临床资料。术后评估患者手指或脚趾的活动度、外观、功能、疼痛指标，并随访半年。结果：共纳入28例，所有患者术后皮瓣均成活良好，术后手指或脚趾的关节活动度良好，优良率较术前明显改善（术前85.7%，术后96.4%，P＜0.05）；患者对术后手指或脚趾外形满意度评分提高，差异有统计学意义（P＜0.001）；原囊肿部位疼痛较术前明显改善（术前4.15±0.75，术后1.15±0.37，P＜0.0001）。随访6个月无复发，无明显瘢痕增生出现。结论：皮瓣联合导管结扎治疗指（趾）端黏液样囊肿，可保留关节功能，减少创伤，术后复发率低。

关键词: 黏液样囊肿, 皮瓣

Abstract: Objective: To analyze the curative effect of skin flap repair combined with catheter ligation in the treatment of distal finger or toe myxoid cysts. Methods: The access of patients with distal interphalangeal myxoid cysts treated with cyst excision, distal ligation of cyst catheter and skin flap repair from June 2023 to June 2024 were analyzed retrospectively. The range of motion, appearance, function, and pain of the fingers or toes were evaluated after the operation and all the patients were followed up for half a year. Results: A total of 28 patients were included, all the flaps survived well after operation. The range of motion of the fingers or toes was good after operation. The excellent and good rate was significantly improved compared with that before operation (85.7% before operation, 96.4% after operation, P＜0.05). Patients' satisfaction with the appearance of fingers or toes after operation was improved, and the difference was statistically significant (P＜0.001). The pain in the original cyst site was significantly improved compared with that before operation (4.15±0.75 before operation, 1.15±0.37 after operation, P＜0.0001). There was no recurrence and obvious scar hyperplasia during the 6-month follow-up period. Conclusion: Skin flap combined with catheter ligation to treat digital myxoid cyst can preserve joint function, reduce trauma and reduce postoperative recurrence rate.

Key words: myxoid cysts, skin flap