摘要
目的探讨关节镜下清理配合射频消融术微创治疗Haglund病的早、中期临床效果。方法所有患者随机分为两组,A组采用切开清理术治疗共9例;B组采用关节镜清理配合射频消融术治疗共10例。两组在治疗6个月后,采用VAS疼痛评分、Maryland足部评分标准、AOFAS后足评分标准、SF-36评分对患者的疼痛、足部功能以及生活质量的改善情况进行评估,并采用步态分析对患者术前、术后的步态改变进行客观评价。结果 19例患者随访时间为31-101周,平均60.3周。两组术后VAS评分的差异无统计学意义（P〉0.05）,而AOFAS评分、ML足部评分、SF-36评分差异有统计学意义（P〈0.05）;两组术后步态分析各参数的差异无统计学意义（P〈0.05）。结论切开术和关节镜清理配合射频消融术均可有效缓解足部疼痛,提高术后足部功能评分,改善步态及患者生活质量。B组术后完全负重时间较A组明显缩短,手术切口小,患者满意度较高。两组术式在客观上其实都能纠正患者步态异常,对于Haglund病的处理皆合适,但远期疗效尚不确定。
Objective The purpose of the study is clarifing the clinical value and significance of the application of plasma radio frequency ablation combined with arthroscope and open surgery. Methods A total of 19 patients were divided into two groups randomly by the registration number,the group A which of the singulars were brought into was treated with open surgery treatment while the group B which of the even numbers were brought into was underwent arthroscopy treatment with radiofrequency ablation.The VAS, Maryland standard,AOFAS foot score,and SF-36 were collected to evaluate the level of patient＇s pain,function and conditions of the foots 6 months later after the treatment.And foot gait analysis was used to evaluate the foot change preoperation and postoperation objectively. Results The mean follow-up was 60.5 weeks（range 31 to 101）.The difference of postoperative VAS score of two groups were not statistically significant（P〉0.05）.And the difference of postoperative AOFAS score,the Maryland score and the SF-36 score of two groups were statistically significant（P〈0.05）.The differences of postoperative length of gait analysis of two groups were not statistical significant（P〈0.05）.And the differences of postoperative full weight bearing time of the two groups were statistical significance（P〈0.05）. ConclusionBoth open surgery and arthroscopy combined with radio frequency ablation surgery can effectively relieve foot pain effectively,improve postoperative foot function score,make better foot gait and enhance life quality of the patients.Satisfaction in arthroscopic group was improved better than the open surgery group,but the long-term follow-up effect is uncertain.
出处
《足踝外科电子杂志》
2016年第1期9-17,共9页
Electronic Journal of Foot and Ankle Surgery
基金
广州市越秀区科技计划项目(2013-WS-005)
