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[1]黃魯豐,賀華勇,李杰華,等.跟痛癥患者跟骨內(nèi)側(cè)突骨刺的解剖學(xué)研究[J].中醫(yī)正骨,2021,33(04):51-54.
　HUANG Lufeng,HE Huayong,LI Jiehua,et al.An anatomical study of calcaneal medial process spurs in patients with calcaneodynia[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(04):51-54.
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跟痛癥患者跟骨內(nèi)側(cè)突骨刺的解剖學(xué)研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年04期
頁碼:
51-54
欄目:
基礎(chǔ)研究
出版日期:
2021-04-20

文章信息/Info

Title:
An anatomical study of calcaneal medial process spurs in patients with calcaneodynia
作者:
黃魯豐1; 賀華勇1; 李杰華1; 葉永亮1; 顏仰雪2; 廖立青3
(1.廣州市正骨醫(yī)院,廣東 廣州 510045; 2.廣州市天河區(qū)中醫(yī)醫(yī)院,廣東 廣州 510665; 3.南方醫(yī)科大學(xué)中醫(yī)藥學(xué)院,廣東 廣州 510515)
Author(s):
HUANG Lufeng1; HE Huayong1; LI Jiehua1; YE Yongliang1; YAN Yangxue2; LIAO Liqing3
1.Guangzhou Orthopedic Hospital,Guangzhou 510045,Guangdong,China2.Tianhe Hospital of TCM,Guangzhou 510665,Guangdong,China3.School of Chinese Medicine of Southern Medical University,Guangzhou 510515,Guangdong,China
關(guān)鍵詞:
跟骨骨刺;  足跟痛;  解剖
Keywords:
heel spur;  heel pain;  dissection
摘要:
目的:探討跟痛癥患者跟骨內(nèi)側(cè)突骨刺的解剖學(xué)特點(diǎn),分析其形成因素。方法:從跟痛癥患者中選取經(jīng)X線檢查確定合并跟骨內(nèi)側(cè)突骨刺者,拍攝跟骨側(cè)位X線片,測量骨刺的厚度和長度。分析患者的性別和年齡,比較不同性別患者的年齡和不同年齡患者的性別,比較不同側(cè)別、類型跟骨內(nèi)側(cè)突骨刺的長度及厚度。結(jié)果:①不同性別患者的年齡。共納入113例合并跟骨內(nèi)側(cè)突骨刺的跟痛癥患者,男45例、女68例。男性組年齡(51.80±12.66)歲,女性組年齡(58.03±9.00)歲,男性患者的年齡小于女性(t’=-2.492,P=0.015)。②不同年齡患者的性別。<45歲組男11例(73%)、女4例(27%),45～55歲組男14例(41%)、女20例(59%),>55歲組男20例(31%)、女44例(69%); 3組患者性別分布的差異有統(tǒng)計(jì)學(xué)意義(χ2=9.018,P=0.011),進(jìn)一步兩兩比較發(fā)現(xiàn),<45歲組與45～55歲組性別分布的差異無統(tǒng)計(jì)學(xué)意義(χ2=4.307,P=0.038),45～55歲組與>55歲組性別分布的差異無統(tǒng)計(jì)學(xué)意義(χ2=0.966,P=0.326),>55歲組的女性占比高于<45歲組(χ2=9.026,P=0.003)。③不同側(cè)別跟骨內(nèi)側(cè)突骨刺的長度及厚度。跟骨內(nèi)側(cè)突骨刺,左側(cè)50例、右側(cè)58例、雙側(cè)5例。左側(cè)跟骨內(nèi)側(cè)突骨刺的長度小于右側(cè)[(4.09±1.80)mm,(5.03±1.96)mm,t=2.600,P=0.011]。左側(cè)與右側(cè)跟骨內(nèi)側(cè)突骨刺厚度的差異無統(tǒng)計(jì)學(xué)意義[(3.42±1.14)mm,(3.92±1.73)mm,t=1.754,P=0.084]。④不同類型跟骨內(nèi)側(cè)突骨刺的長度及厚度。單純跟骨內(nèi)側(cè)突骨刺93例,跟骨內(nèi)側(cè)突和跟腱止點(diǎn)處骨刺20例。不同類型跟骨內(nèi)側(cè)突骨刺長度的差異無統(tǒng)計(jì)學(xué)意義[(4.74±1.98)mm,(4.19±1.77)mm,t=-1.148,P=0.253]。不同類型跟骨內(nèi)側(cè)突骨刺厚度的差異無統(tǒng)計(jì)學(xué)意義[(3.65±1.14)mm,(4.08±2.68)mm,t’=0.698,P=0.493]。結(jié)論:跟痛癥患者的跟骨內(nèi)側(cè)突骨刺,左側(cè)骨刺長度小于右側(cè),兩側(cè)骨刺厚度無明顯差別,不同類型骨刺的長度及厚度均無明顯差別; 男性患者的年齡小于女性,55歲以上患者中女性患者比例較高; 跟骨內(nèi)側(cè)突骨刺的形成可能與激素水平變化有關(guān)。
Abstract:
To explore the anatomical characteristics of plantar calcaneal spurs(PCS)at medial process in patients with calcaneodynia,and to analyze the factors of its formation.Methods:The patients who were diagnosed with PCS at medial process by X-ray examination were selected from the ones with calcaneodynia.The calcaneal lateral X-ray films were taken,and the thickness and length of PCS were measured on the X-ray films.The gender and age of the patients were analyzed.The age of patients were compared between different genders and the gender of patients were compared between different ages.The length and thickness of PCS were compared between different sides and types.Results:One hundred and thirteen patients were included in the study,and they consisted of 45 males and 68 females and ranged in age of 51.80±12.66 years in males and 58.03±9.00 years in females.The male patients were younger than the female patients(t’=-2.492,P=0.015).The patients include 11 males(73%)and 4 female(27%)in group aged less than 45 years,14 males(41%)and 20 females(59%)in group aged from 45 to 55 years,and 20 males(31%)and 44 females(69%)in group aged over 55 years.There was statistical difference in gender distribution between the 3 groups(χ2=9.018,P=0.011).Further pairwise comparison showed that there was no statistical difference in gender distribution between group aged less than 45 years and group aged from 45 to 55 years(χ2=4.307,P=0.038),as well as between group aged from 45 to 55 years and group aged over 55 years(χ2=0.966,P=0.326).The proportion of females was higher in group aged over 55 years compared to group aged less than 45 years(χ2=9.026,P=0.003).The PCS located in left calcaneus for 50 patients,right for 58 patients and bilateral for 5 patients.The length of PCS was shorter in left calcaneus compared to the right calcaneus(4.09±1.80 vs 5.03±1.96 mm,t=2.600,P=0.011).There was no statistical difference in thickness of PCS between the left calcaneus and the right calcaneus(3.42±1.14 vs 3.92±1.73 mm,t=1.754,P=0.084).The PCS were merely on medial process in 93 patients and on both medial process and the ending point of tendo calcaneus in 20 patients.There was no statistical difference in the length and thickness of PCS between different types(4.74±1.98 vs 4.19±1.77 mm,t=-1.148,P=0.253; 3.65±1.14 vs 4.08±2.68 mm,t’=0.698,P=0.493).Conclusion:In patients with calcaneodynia and PCS,the length of PCS is shorter in left calcaneus compared to the right calcaneus,and the differences in thickness of PCS between bilateral sides and in length and thickness of PCS between different types are not statistically significant.Moreover,the male patients are younger than the female patients.The PCS is more common in females patients aged over 55 years,and its formation may be related to the changes of hormone levels.

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通訊作者:廖立青 E-mail:[email protected]
更新日期/Last Update: 1900-01-01