外侧双入路镜下清理术治疗跟痛症
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西南医科大学附属中医医院骨伤科

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1. 2020年国家自然科学基金课题(青年科学基金项目) 2. 2021年四川省科技厅中央引导地方科技发展资金面上项目 3. 2022年西南医科大学附属中医医院科研团队培育项目 4. 2022年四川省科技计划联合创新专项项目


Treatment of calcaneodynia by endoscopic debridement under lateral double approach
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Department of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University

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1.National Natural Science Foundation of China (Youth Science Foundation Project) 2. Central Funds Guiding the Local Science and Technology Development General Program of Sichuan Provincial Science and Technology Department 3. Scientific Research Cultivation Project of The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University 4. Supported by Sichuan Science and Technology Program

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    摘要:

    【摘要】 目的 探讨通过外侧双入路镜下行跟骨骨刺清理加跖筋膜松解术以治疗跟痛症的临床效果。方法 回顾性分析2017年1月-2022年10月于西南医科大学附属中医医院治疗因跟骨骨刺及足底筋膜炎引起跟痛症的符合纳入标准的58例患者资料,根据沟通结果。29例患者经外侧双入路踝关节镜下施以跟骨骨刺清理加跖筋膜松解术,29位患者行非手术的保守治疗。比较两组随访和影像资料。结果 58位患者均接受为期1年的随诊,没有出现不良现象。手术组29例患者术后X线影像片显示跟骨骨刺消失。手术组和保守组在治疗后3月、6月、12月VAS评分较治疗前均有改善,且评分之间比较均呈好转趋势,具有显著性差异(P<0.05);治疗后3月、6月、12月手术组VAS评分低于保守组,具有显著性差异(P<0.05)。治疗后3月、6月、12月手术组AOFAS评分、Maryland评分较保守组更高,具有显著性差异(P<0.05)。结论 外侧双入路镜下行跟骨骨刺清理加跖筋膜松解术治疗跟痛症,具有疗效好、不易复发等优点,在防止跟痛症的再发生方面具有很好的治疗效果,患者满意率高。

    Abstract:

    Abstract: [Purpose] To investigate the clinical effect of calcaneal spur clearance and plantar fasciolysis under lateral double approach in the treatment of calcaneodynia. [Method] The clinical data of 58 patients who were treated with calcaneodynia in the Hospital of Traditional Chinese Medicine Affiliated to Southwest Medical University from January 2017 to October 2022 were retrospectively analyzed. According to the result of communication. 29 patients were treated with calcaneal spur debridement and metatarsal fascia release under ankle arthroscopy through lateral double approach, and 29 patients received conservative treatment. The follow-up and imaging data of the two groups were compared. [Results] All 58 patients were followed up for a period of 1 year, and no adverse events occurred. Postoperative X-ray images of 29 patients in the operation group showed that the calcaneal spur disappeared. The VAS scores of the operation group and the conservative group were improved compared with those before treatment at 3 months, 6 months, and 12 months after treatment, and the scores showed a trend of improvement, with significant differences (P<0.05); The VAS scores of the operation group in June and December were lower than those of the conservative group, with significant difference (P<0.05). After 3 months, 6 months, and 12 months of treatment, the AOFAS score and Maryland score of the surgery group were higher than those of the conservative group, with significant differences(P<0.05). [Conclusion] Calcaneal spur clearing and metatarsal fascia release under arthroscopy for calcaneal pain, It has the advantages of lasting curative effect and not easy to relapse. It has good curative effect in preventing the recurrence of calcaneodynia and high clinical satisfaction rate.

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  • 收稿日期:2023-02-22
  • 最后修改日期:2023-10-08
  • 录用日期:2023-12-08
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