腱鞘囊腫

Ganglion cyst
Ganglion cyst
又称	Ganglia/synovial cyst Gideon's disease, Olamide's cyst, Bible cyst, Bible bump
	出现在左手手腕背侧附近的一个腱鞘囊腫
症状	关节或腱鞘附近的小软肿块
併發症	腕隧道症候群; 桡动脉（英语：Radial artery）压迫
起病年龄	15-40岁
类型	囊腫
診斷方法	取决于病征
鑑別診斷	脂肪瘤; 表皮样包涵囊肿; 痛风; 血管瘤
治療	随访观察（英语：Watchful waiting）; 夹板固定受影响关节; 针吸取; 外科手术
预后	不严重
患病率	约3人/10,000人每年（手腕及手掌）
分类和外部资源
醫學專科	整形外科
ICD-11	FB42.2
ICD-10	M67.4
DiseasesDB	31229
eMedicine	1243454
	[编辑此条目的维基数据]

腱鞘囊腫（ganglion cyst）是发生在腱鞘或关节囊附近内含黏液的囊肿^[3]，囊肿壁主要由致密结缔组织组成^[6]。以往将腱鞘囊肿与滑膜囊肿视为同一疾病，但现在因组织学与治疗方式的不同已将两者区分，前者由结缔组织的黏液样变性造成^[7]，而后者则由滑膜（英语：Synovial membrane）的疝出造成^[8]^[9]^[10]。此外，英语命名 ganglion 亦为一历史误称^[11]^[12]。

腱鞘囊肿最容易发生于手腕背侧，其次是手腕掌侧^[3]^[4]。腱鞘囊肿一般会持续一月以上^[4]。一般来说，腱鞘囊肿发生后不会有其它症状，但可能偶尔伴有疼痛或麻木^[3]。腕隧道症候群是腱鞘囊肿的并发症之一^[4]。腱鞘囊腫的病因目前尚未阐明，健身可能是诱因之一^[3]。一般来说，使用光照射囊肿区域即可进行诊断。使用医学影像学的手段能排除其它相似似疾病的可能性^[3]^[4]。

针对腱鞘囊腫的治疗方法包括随访观察（英语：Watchful waiting）、夹板固定受影响关节、针吸取，或外科手术^[3]。在超过半数的病例中，腱鞘囊腫会自愈。根据统计，每年一万人中大约有3人会得手腕或手掌的腱鞘囊肿^[5]。腱鞘囊腫多发于青年女性和中年女性^[3]。尝试用书本打击患处进行治疗并不是一个明智的选择^[4]。

参考资料

^ National Library of Medicine - Medical Subject Headings (MeSH) - Ganglion Cyst. [August 27, 2013]. （原始内容存档于March 10, 2016）.
^ E-hand.com The Electronic Textbook of Hand Surgery. The American Society for Surgery of the Hand assh.com. [April 12, 2014]. （原始内容存档于2014-03-09）.
^ ^3.00 ^3.01 ^3.02 ^3.03 ^3.04 ^3.05 ^3.06 ^3.07 ^3.08 ^3.09 ^3.10 Ganglion Cyst of the Wrist and Hand-OrthoInfo. orthoinfo.aaos.org. March 2013 [10 June 2017]. （原始内容存档于2017-07-06）.
^ ^4.0 ^4.1 ^4.2 ^4.3 ^4.4 ^4.5 ^4.6 ^4.7 Ferri, Fred F. Ferri's Clinical Advisor 2015 E-Book: 5 Books in 1. Elsevier Health Sciences. 2014: 472. ISBN 9780323084307. （原始内容存档于2017-09-10）（英语）.
^ ^5.0 ^5.1 Cooney, William P. The Wrist: Diagnosis and Operative Treatment. Lippincott Williams & Wilkins. 2011: 1089. ISBN 9781451148268. （原始内容存档于2017-09-10）（英语）.
^ Thomas H. Berquist. MRI of the Musculoskeletal System. Lippincott Williams & Wilkins. 2012: 939. ISBN 9781451109184.
^ Gregush RE, Habusta SF. Ganglion Cyst. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470168/ （页面存档备份，存于互联网档案馆）
^ Giard MC, Pineda C. Ganglion cyst versus synovial cyst? Ultrasound characteristics through a review of the literature. Rheumatol Int. 2015 Apr;35(4):597-605. doi: 10.1007/s00296-014-3120-1. Epub 2014 Sep 5. PMID 25190552.
^ Neto, N., Nunnes, P. Spectrum of MRI features of ganglion and synovial cysts. Insights Imaging 7, 179–186 (2016). https://doi.org/10.1007/s13244-016-0463-z
^ Vanhoenacker, F.M. (2023). Synovial Cysts, Ganglion Cysts, and Bursae. In: Vanhoenacker, F.M., Ladeb, M.F. (eds) Imaging of Synovial Tumors and Tumor-like Conditions. Medical Radiology. Springer, Cham. https://doi.org/10.1007/174_2023_419
^ J.C. Segen (1992). The Dictionary of Modern Medicine. CRC Press. ISBN 9781850703211. Archived from the original on 2017-09-10. (see the entry for aneurysmal bone cyst, which "like pyogenic granuloma and ganglion cyst, a misnomer that has withstood the sands of time and the dint of logic")
^ See Hippocrates' "On the Articulations" (part 40) at Wikisource

[1] National Library of Medicine - Medical Subject Headings (MeSH) - Ganglion Cyst. [August 27, 2013]. （原始内容存档于March 10, 2016）.

[E-hand.com-2] E-hand.com The Electronic Textbook of Hand Surgery. The American Society for Surgery of the Hand assh.com. [April 12, 2014]. （原始内容存档于2014-03-09）.

[AAOS2013-3] 3.00 ^3.01 ^3.02 ^3.03 ^3.04 ^3.05 ^3.06 ^3.07 ^3.08 ^3.09 ^3.10 Ganglion Cyst of the Wrist and Hand-OrthoInfo. orthoinfo.aaos.org. March 2013 [10 June 2017]. （原始内容存档于2017-07-06）.

[Fer2014-4] 4.0 ^4.1 ^4.2 ^4.3 ^4.4 ^4.5 ^4.6 ^4.7 Ferri, Fred F. Ferri's Clinical Advisor 2015 E-Book: 5 Books in 1. Elsevier Health Sciences. 2014: 472. ISBN 9780323084307. （原始内容存档于2017-09-10）（英语）.

[Co2011-5] 5.0 ^5.1 Cooney, William P. The Wrist: Diagnosis and Operative Treatment. Lippincott Williams & Wilkins. 2011: 1089. ISBN 9781451148268. （原始内容存档于2017-09-10）（英语）.

[6] Thomas H. Berquist. MRI of the Musculoskeletal System. Lippincott Williams & Wilkins. 2012: 939. ISBN 9781451109184.

[7] Gregush RE, Habusta SF. Ganglion Cyst. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470168/ （页面存档备份，存于互联网档案馆）

[8] Giard MC, Pineda C. Ganglion cyst versus synovial cyst? Ultrasound characteristics through a review of the literature. Rheumatol Int. 2015 Apr;35(4):597-605. doi: 10.1007/s00296-014-3120-1. Epub 2014 Sep 5. PMID 25190552.

[9] Neto, N., Nunnes, P. Spectrum of MRI features of ganglion and synovial cysts. Insights Imaging 7, 179–186 (2016). https://doi.org/10.1007/s13244-016-0463-z

[10] Vanhoenacker, F.M. (2023). Synovial Cysts, Ganglion Cysts, and Bursae. In: Vanhoenacker, F.M., Ladeb, M.F. (eds) Imaging of Synovial Tumors and Tumor-like Conditions. Medical Radiology. Springer, Cham. https://doi.org/10.1007/174_2023_419

[11] J.C. Segen (1992). The Dictionary of Modern Medicine. CRC Press. ISBN 9781850703211. Archived from the original on 2017-09-10. (see the entry for aneurysmal bone cyst, which "like pyogenic granuloma and ganglion cyst, a misnomer that has withstood the sands of time and the dint of logic")

[12] See Hippocrates' "On the Articulations" (part 40) at Wikisource

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