不同方法治疗先天性马蹄内翻足的临床研究  

Clinical Study of Congenital Clubfoot Treatment with Diferent Methods

作　　者：潘维文 李玉平 戴国联 王宏新 黄志锋 黎惠炯 

机构地区：[1]广东省东莞市高埗医院,广东东莞523270

出　　处：《中国医学创新》2013年第19期34-35,共2页Medical Innovation of China

摘　　要：目的:探讨先天性马蹄内翻足(CCF)治疗的新进展。方法:纳入2009年11月-2011年2月本院治疗的CCF患儿34例,其中,观察组17例采用动态肌力平衡手术治疗,对照组17例采用改良Ponseti方法治疗。结果:全部患儿均随访2年以上。观察组与对照组6月龄以下患儿治疗优良率分别为93.7%、94.4%,组间比较差异无统计学意义(P>0.05);对于6个月～1岁的患儿,两组治疗优良率分别为100%、75.0%,组间比较差异有统计学意义(P<0.05)。术后无感染、复发及并发症发生。结论:改良Ponseti方法可作为6个月以内CCF患儿的首选治疗方法,6个月～1岁的患儿应考虑使用肌平衡手术治疗。Objective：To discuss the New Progress on the treatment of congenital clubfoot（CCF）.Method：Took 34 case of CCF patients from November 2009 to February 2011,the observation group（n=17）was treated with muscle strength balance method,the control group（n=17）was treated with modified ponseti method.Result：All the patients were followed up for more than 2 years.The children younger than 6 months in the observation group with the excellent and good rate was 93.7%,and that in control group was 94.4%,there was no significant difference between two groups （P ＆gt;0.05）.And in 6 months to 1 years old patients,the excellent and good rate was 100% and 75.0% respectively,there was significant difference between two groups（P ＆lt;0.05）.The postoperative follow-up revealed that there were no infections,relapses and complications.Conclusion：Modified ponseti method is the first choice for treatment of CCF in children younger than 6 months old,while muscle strength balance is suitable for children from 6 months to 1 year old.

关 键 词：先天性马蹄内翻足 改良Ponseti法 肌力平衡术 

分 类 号：R726.8[医药卫生—儿科]