临床外科杂志 ›› 2025, Vol. 33 ›› Issue (6): 669-671.doi: 10.3969/j.issn.1005-6483.20240845

• 综述与讲座 • 上一篇    下一篇

髋关节囊肿的诊疗进展

鲍启航 李皓桓   

  1. 430060 武汉大学人民医院运动医学与关节外科
  • 收稿日期:2024-05-31 出版日期:2025-06-20 发布日期:2025-06-20
  • 通讯作者: 李皓桓,Email:lihaohuan@whu.edu.cn

Progress in the diagnosis and treatment of hip joint cysts

BAO Qihang,LI Haohuan   

  1. Department of Orthopedics,Renmin Hospital of Wuhan University,Wuhan 430060,China
  • Received:2024-05-31 Online:2025-06-20 Published:2025-06-20

摘要: 髋关节囊肿是一种涉及髋关节及其周围软组织的囊性病变,主要是出现退行性变或滑膜异常所引起。在影像学检查中,MRI和超声检查对囊肿的诊断至关重要。髋关节囊肿的临床表现主要包括疼痛、肿胀和压迫症状,其治疗策略取决于囊肿的大小、症状严重程度和原发疾病性质。对于无症状的病人可采取保守治疗,而对有症状的病人则需要穿刺抽吸或手术治疗。髋关节镜手术因其微创和高精度而成为治疗的首选。

关键词: 髋关节囊肿; 腱鞘囊肿; 滑膜囊肿; 髋关节镜术

Abstract: Hip joint cysts are a type of cystic lesion involving the hip joint and its surrounding soft tissues,mainly caused by degenerative changes or abnormal synovium.In imaging examinations, MRI and ultrasound examinations are crucial for the diagnosis of cysts.The clinical manifestations of hip joint cysts mainly include pain, swelling and compression symptoms. The treatment strategy depends on the size of the cyst, the severity of the symptoms and the nature of the primary disease.Conservative treatment can be adopted for asymptomatic patients,while symptomatic patients may require puncture aspiration or surgical treatment.In surgical treatment,hip arthroscopy has gradually become the preferred treatment due to its minimally invasive and high-precision characteristics.

Key words: hip joint cyst;ganglion cyst;synovial cyst;hip arthroscopy

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