[1]程卫东,李朝晖,明晓锋,等.经皮跟腱剥脱术治疗非止点性跟腱炎[J].中医正骨,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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经皮跟腱剥脱术治疗非止点性跟腱炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年05期
页码:
68-70
栏目:
临床报道
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:
程卫东; 李朝晖; 明晓锋; 刘骏逸
(河南省洛阳正骨医院/河南省骨科医院,河南 郑州 450016)
Author(s):
CHENG Weidong; LI Zhaohui; MING Xiaofeng; LIU Junyi
关键词:
跟腱;  非止点性跟腱炎;  跟腱剥脱术;  外科手术; 微创性
摘要:
目的:观察经皮跟腱剥脱术治疗非止点性跟腱炎的临床疗效和安全性。方法:2018年4月至2019年12月,采用经皮跟腱剥脱术治疗非止点性跟腱炎患者43例。男36例,女7例。年龄27～57岁,中位数37岁。左侧25例,右侧18例。术前均经过至少6个月的非手术治疗。首次出现症状至手术时间6～28个月,中位数15个月。采用跟腱疼痛视觉模拟量表(visual analogue scale,VAS)和维多利亚运动研究所跟腱评估(Victorian Institute of Sports assessment-Achilles,VISA-A)标准评价临床疗效,采用Biodex System 4等速肌力评估训练系统测定患肢踝关节跖屈肌力峰力矩。随访观察并发症发生情况。结果:所有患者均获随访,随访时间13～17个月,中位数15个月。切口均甲级愈合。跟腱疼痛VAS评分,术前(4.2±1.8)分、术后12个月(1.2±1.0)分; VISA-A评分,术前(52.2±8.0)分、术后12个月(84.6±6.7)分; 患肢踝关节跖屈肌力峰力矩,术前(88.1±19.7)N·m、术后12个月(96.2±20.7)N·m。均无切口延迟愈合、感染、腓肠神经损伤和下肢深静脉血栓等并发症发生。结论:经皮跟腱剥脱术治疗非止点性跟腱炎,能够缓解跟腱疼痛、改善足踝部功能、增强踝关节跖屈力量,且安全性高。

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备注/Memo

备注/Memo:
基金项目:河南省中医药科学研究专项课题(2017ZY2124)
通讯作者:刘骏逸 E-mail:12000084@qq.com
更新日期/Last Update: 1900-01-01