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腱鞘囊肿

最后审阅: 10 Nov 2024
最后更新: 02 Aug 2023

小结

定义

病史和体格检查

关键诊断因素

  • 腕部皮下肿块
  • 手腕疼痛
  • 无触痛性肿块
  • 活动后肿块增大
  • 透光性肿块
完整详情

其他诊断因素

  • 存在的危险因素
  • 无法记起肿块发作时间
  • 影响美观而令人不快的肿块
  • 手或指冰凉
  • 感觉异常或手指无力
  • 手部感觉减退
完整详情

危险因素

  • 女性
  • 10~30 岁
  • 创伤
  • 舟月骨不稳定
完整详情

诊断性检查

首要检查

  • 无初始检查
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需考虑的检查

  • 囊肿抽吸
  • 红细胞沉降率
  • C 反应蛋白
  • 全血细胞计数
  • 尿酸
  • 腕部 X 光片
  • 超声
  • 磁共振成像 (magnetic resonance imaging, MRI)
完整详情

治疗流程

急症处理

神经血管未受损

神经血管受损

撰稿人

作者

Philip Blazar, MD

Associate Professor of Orthopedic Surgery

Harvard Medical School

Brigham and Women's Hospital

Boston

MA

利益声明

PB declares that he has no competing interests.

鸣谢

Dr Philip Blazar would like to gratefully acknowledge Dr Marco Rizzo and Dr Kristofer S. Matullo, previous contributors to this topic.

利益声明

MR and KSM declare that they have no competing interests.

同行评议者

George Chloros, MD

Fellow

Department of Orthopedic Surgery

Wake Forest University Baptist Medical Center

Winston-Salem

NC

利益声明

GC declares that he has no competing interests.

Lorenz Buchler, MD

Senior Physician

Clinic for Orthopedic Surgery

University Hospital Bern

Bern

Switzerland

利益声明

LB declares that he has no competing interests.

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