改良Ponseti石膏联合经皮跟腱切断治疗早期先天性马蹄内翻足临床研究  

Clinical Research of Reforming Ponseti Plaster With Percutaneous Tendoachilles Tenotomy Curing Early Congenital Clubfoot

作　　者：李战春[1] 王丹[1] 袁永健[1] 鲍鹰[1] 邢时通[1] 施利华[1] 钱建锋[1] 周华[1] 

机构地区：[1]湖州市第一人民医院骨科,浙江湖州313000

出　　处：《中华中医药学刊》2009年第6期1278-1280,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：湖州市科技局课题资助项目(2008YS16)

摘　　要：目的：改良Ponseti石膏联合经皮跟腱切断治疗早期小儿先天性马蹄内翻足的临床研究。方法：应用改良的Ponseti石膏联合经皮跟腱切断治疗年龄7天-18个月先天性马蹄内翻足16例19足,僵硬型9例,松软型7例,平均年龄122.8天。依据Dimeglio法分型和Pirani评分判定疗效。随访时间为3-24个月,平均15个月。结果：5例6足通过应用改良Ponseti石膏矫形治愈,占31.58%（6/19）;9例11足应用Ponseti手法矫正、系列石膏矫形、联合经皮下跟腱切断术治愈,占57.89%（11/19）;2例2足复发病例占10.53%（2/19）,没有耐心继续治疗,外院就诊。平均治疗时间9.4周,除2例外,其余全部病例均在随访中。结论：应用改良Ponseti石膏联合经皮跟腱切断治疗小儿先天性马蹄内翻足创伤小,节省了治疗费用,可以收到同样的显著效果。Objective：Clinical research of reforming Ponseti plaster with percutaneous tendoachiUes tenotomy curing early congenital clubfoot. Methods： Sixteen patients（ 19 feet） with congenital clubfoot, the ages of patients ranged from 7 days to 18 months old, including 9 stiffening patients and 7 soft patients, average 122.8 days, were treated by Reforming Ponseti plaster with percutaneous tendoachilles tenotomy. Assessment effects according to Dimeglio methods and Pirani scores. The follow-up study lasted for 3 -24 months, average 15 months. Results： The deformity rectification effects of 6 feet （31.58%） with manual correction and continuous casting orthopaedic were satisfied, 11 feet （57.89%） with manual correction and continuous casting orthopaedic and percutaneous tendoachilles tenotomy were satisfied. 2 feet （10. 53% ） remnant deformity,but go to another hospital, Average 9.4 weeks, all in following -up, except 2 patients. Conclusion： Reforming Ponseti plaster with percutaneous tendoachilles tenotomy curing early congenital clubfoot is minitrauma, save economic burden, produced the satisfactory curative effect.

关 键 词：先天性马蹄内翻足 改良Ponseti石膏 经皮跟腱切断 

分 类 号：R681.8[医药卫生—骨科学]