先天性马蹄内翻足软组织松解胫前和胫后肌腱外移术的比较  

Comparison of anterior tibial and posterior tibial tendon relocation in the treatment of congenital clubfoot

作　　者：王汉中 唐成林[2] 

机构地区：[1]桦甸市人民医院骨科,吉林桦甸132400 [2]吉林大学中日联谊医院骨科,吉林长春130033

出　　处：《吉林医学》2007年第17期1837-1838,共2页Jilin Medical Journal

摘　　要：目的：探讨软组织松解胫前和胫后肌腱外移两种肌力平衡术在先天性马蹄内翻足手术中的治疗效果。方法：从2003年6月-2006年10月吉林大学中日联谊医院收治了先天性马蹄内翻足52例（67足），胫前肌腱外移术27足，胫后肌腱外移术40足。结果：随访27月-40个月，中位随访时间34个月。胫前肌腱外移术优良率为59.2％（16／27），其中有2足恢复差，均为Ⅳ级先天性马蹄内翻足。胫后肌腱外移术优良率90.0％（36／40）。统计学分析两组有显著差异（X0.05.1^2=8.77，P〈0.005）。结论：胫后肌腱前外移术明显优于胫前肌腱外移术。Objective To discuss the surgical treatments of the two muscle balance （ the anterior tibial and the posterior tibial tendon） in congenital clubfoot. Method China - Japan Union Hospital of Jilin University had treated 52 cases with congenital clubfoot （67 feet） from June 2003 to October 2006. Among them, 27 feet with the anterior tibial tendon relocation and 40 feet with the posterior tibial tendon relocation. Results The period of follow - up was 27 - 40 months, with a median follow - up period of 34 months. The excellent rate of the anterior tibial tendon relocation was 59.2% （ 16/27）, 2 feet of them recovered poorly and they were all Grade Ⅳ congenital clubfoot. The excellent rate of the posterior tibial tendon relocation was 90.0% （36/40）. The two groups had significant difference according to the statistical analysis （ X^2 = 8.77, P 〈 0.005）. Conclusion The posterior tibial tendon relocation is obviously better than the anterior tibial tendon relocation.

关 键 词：先天性马蹄内翻足 肌力平衡术 临床疗效 

分 类 号：R726.8[医药卫生—儿科]