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[1]程衛(wèi)東,李朝暉,明曉鋒,等.經(jīng)皮跟腱剝脫術(shù)治療非止點性跟腱炎[J].中醫(yī)正骨,2021,33(05):68-70.
　CHENG Weidong,LI Zhaohui,MING Xiaofeng,et al.Percutaneous achilles tendon stripping for treatment of non-insertional achilles tendinitis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(05):68-70.
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經(jīng)皮跟腱剝脫術(shù)治療非止點性跟腱炎()
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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05期
頁碼:
68-70
欄目:
臨床報道
出版日期:
2021-05-20

文章信息/Info

Title:
Percutaneous achilles tendon stripping for treatment of non-insertional achilles tendinitis
作者:
程衛(wèi)東; 李朝暉; 明曉鋒; 劉駿逸
(河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 鄭州 450016)
Author(s):
CHENG Weidong; LI Zhaohui; MING Xiaofeng; LIU Junyi
關(guān)鍵詞:
跟腱;  非止點性跟腱炎;  跟腱剝脫術(shù);  外科手術(shù); 微創(chuàng)性
摘要:
目的:觀察經(jīng)皮跟腱剝脫術(shù)治療非止點性跟腱炎的臨床療效和安全性。方法:2018年4月至2019年12月,采用經(jīng)皮跟腱剝脫術(shù)治療非止點性跟腱炎患者43例。男36例,女7例。年齡27～57歲,中位數(shù)37歲。左側(cè)25例,右側(cè)18例。術(shù)前均經(jīng)過至少6個月的非手術(shù)治療。首次出現(xiàn)癥狀至手術(shù)時間6～28個月,中位數(shù)15個月。采用跟腱疼痛視覺模擬量表(visual analogue scale,VAS)和維多利亞運動研究所跟腱評估(Victorian Institute of Sports assessment-Achilles,VISA-A)標(biāo)準(zhǔn)評價臨床療效,采用Biodex System 4等速肌力評估訓(xùn)練系統(tǒng)測定患肢踝關(guān)節(jié)跖屈肌力峰力矩。隨訪觀察并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪,隨訪時間13～17個月,中位數(shù)15個月。切口均甲級愈合。跟腱疼痛VAS評分,術(shù)前(4.2±1.8)分、術(shù)后12個月(1.2±1.0)分; VISA-A評分,術(shù)前(52.2±8.0)分、術(shù)后12個月(84.6±6.7)分; 患肢踝關(guān)節(jié)跖屈肌力峰力矩,術(shù)前(88.1±19.7)N·m、術(shù)后12個月(96.2±20.7)N·m。均無切口延遲愈合、感染、腓腸神經(jīng)損傷和下肢深靜脈血栓等并發(fā)癥發(fā)生。結(jié)論:經(jīng)皮跟腱剝脫術(shù)治療非止點性跟腱炎,能夠緩解跟腱疼痛、改善足踝部功能、增強踝關(guān)節(jié)跖屈力量,且安全性高。

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備注/Memo

備注/Memo:
基金項目:河南省中醫(yī)藥科學(xué)研究專項課題(2017ZY2124)
通訊作者:劉駿逸 E-mail:[email protected]
更新日期/Last Update: 1900-01-01