[1]邹相杰,陶天奇,蒋逸秋.踝关节镜下清理联合局部微骨折术治疗距骨骨样骨瘤[J].中医正骨,2022,34(03):73-76.
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踝关节镜下清理联合局部微骨折术治疗距骨骨样骨瘤()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期数:
2022年03期
页码:
73-76
栏目:
临床报道
出版日期:
2022-03-20

文章信息/Info

作者:
邹相杰陶天奇蒋逸秋
(南京医科大学附属南京医院,江苏 南京 210029)
关键词:
骨瘤骨样 距骨 关节镜检查 微骨折术
摘要:
目的:观察踝关节镜下清理联合局部微骨折术治疗距骨骨样骨瘤的临床疗效和安全性。方法:2018年4月至2020年12月,采用踝关节镜下清理联合局部微骨折术治疗距骨骨样骨瘤患者7例。男5例,女2例。年龄17~23岁,中位数20岁。病变位于左侧距骨颈3例,右侧距骨颈3例,左侧距骨体1例。分别于术前、术后3个月,采用踝部疼痛视觉模拟量表(visual analogue scale,VAS)评价踝关节疼痛情况,采用美国足与踝关节协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分标准评价踝关节功能。随访观察并发症发生情况。结果:本组7例,手术均顺利完成。所有患者均获随访,随访时间8~12个月,中位数10个月。踝关节疼痛VAS评分,术前(6.43±1.27)分,术后3个月(0.43±0.53)分; AOFAS踝与后足评分,术前(39.57±10.44)分,术后3个月(92.86±3.58)分。均未发生切口感染、肿瘤复发等并发症。结论:采用踝关节镜下清理联合局部微骨折术治疗距骨骨样骨瘤,能够缓解踝关节疼痛,改善踝关节功能,且安全性高。

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(收稿日期:2021-12-11 本文编辑:吕宁)

备注/Memo

备注/Memo:
通讯作者:蒋逸秋 E-mail:jyq_3000@163.com
更新日期/Last Update: 1900-01-01