微创切口联合手法治疗拇外翻畸形42例临床研究(1)
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[摘要] 目的:观察微创切口联合手法治疗拇外翻畸形的临床效果。方法:将我院2008年3月～2009年2月收治的42例拇外翻畸形患者随机分为观察组(n=22)和对照组(n=20),对照组仅采用传统术式,观察组采用微创切口联合手法治疗,比较两组的疗效。结果:观察组优良率为95.5%,对照组为65.0%,两组比较,差异有统计学意义(χ2=4.481,P<0.05);观察组并发症少,恢复时间短。结论:微创切口联合手法治疗拇外翻畸形疗效确切,且并发症少,恢复快,值得临床推广。
[关键词] 拇外翻;畸形;微创切口;手法治疗
[中图分类号] R682.1+5[文献标识码]A [文章编号]1673-7210(2010)05(b)-026-02
The clinical study on minimally invasive incision and manipulation in the treatment of hallux valgus deformity
FAN Chunhai, SUI Qijun
(The First People's Hospital of Shangqiu City, He'nan Province, Shangqiu 476100, China)
[Abstract] Objective: To investigate the clinical effect of minimally invasive incision and manipulation in the treatment of hallux valgus deformity. Methods: From March 2008 to February 2009 in our hospital, 42 cases of hallux valgus deformity were randomly divided into observation group (n=22) and control group (n=20). The control group was performed manipulation, the observation group was performed minimally invasive incision and manipulation, then the therapeutic effect of two groups was compared. Results: The excellent and good rate of observation group was 95.5%, and the control group was 65.0%, there was a significant difference between the two groups (χ2=4.481, P<0.05). The observation group had fewer complications and shorter recovery time. Conclusion: Minimally invasive incision and manipulation in the treatment of hallux valgus deformity has definite therapeutic effect, less complications and rapid recovery, it is worth to be popularized.
[Key words] Hallux valgus; Deformity; Minimally invasive incision; Manipulation
第一跖骨内翻时,拇指斜向外侧,称拇外翻(hallux valgus)[1],是足的一种常见病,始于青年,发病率为17%,女性多于男性。大拇趾根部(即第一跖骨)内移后,使得该处极为隆起,容易与鞋形成摩擦,久之,该处皮肤和皮下组织增厚、红肿,滑囊形成,进而产生拇囊炎[2],引起疼痛,局部溃烂后可造成感染,给患者带来不便和痛苦,而且外形上也缺乏美感。因此,有必要进一步探讨更好的治疗拇外翻畸形的方法。本文回顾性分析我院2008年3月～2009年2月收治的42例拇外翻畸形患者的临床资料,总结分析如下:
1 资料与方法
1.1 一般资料
选择我院2008年3月～2009年2月收治的拇外翻畸形患者42例,随机分为观察组和对照组。观察组22例,其中,男性6例,女性16例;年龄16～49岁,平均(30.1±4.5)岁;病程2～19年,平均(5.2±1.3)年。对照组20例,其中,男性4例,女性16例;年龄18～52岁,平均(32.4±4.2)岁;病程2.5～18.0年,平均(4.9±1.6)年。所有患者表现为趾骨增大,拇趾囊肿,骨骼增生,穿鞋时前足疼痛,久行、久站疼痛明显,严重时影响走路姿势 ......
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