摘要
目的应用超声对婴幼儿先天性马蹄内翻足治疗过程中畸形变化进行评价,探讨其临床应用价值。方法选择2020年3月至2021年6月在郑州大学第三附属医院小儿骨科接受治疗且资料完整的先天性马蹄内翻足患儿17例及同时期正常婴幼儿27例,采用超声测量所有足的内踝至舟骨的距离(MM-N距离)、跟骨外侧缘切线到骰骨软骨外侧缘中点的垂直距离(C-C距离)、内侧软组织厚度及胫跟角,对治疗前、治疗后及随访时数据进行统计学分析。结果共评估44例88足,石膏次数(4.7±1.1)次,随访时间(96.9±59.3)d。马蹄内翻足组MM-N距离、C-C距离、后侧胫跟角治疗后及末次随访时较治疗前有改善,差异有统计学意义(均P<0.01)。治疗过程中1例假性矫正,末次随访2例复发。结论超声可以清晰显示正常足和马蹄内翻足的内侧、背侧、外侧、后侧面骨关节结构,并能观察到马蹄内翻足在矫正过程中畸形变化,可为该疾病的临床治疗提供指导信息。
Objective To evaluate the deformity changes in the treatment of congenital clubfoot in infants by ultrasound,and to explore its clinical application value.Methods Seventeen infants with congenital clubfoot treated in the Department of Pediatric Orthopaedics of the Third Affiliated Hospital of Zhengzhou University from March 2020 to June 2021 and 27 normal infants in the same period were selected.The distance between medial malleolus and scaphoids(MM-N distance)of all feet was measured by ultrasound.The distance from the tangent line of the lateral edge of calcaneus to the midpoint of the lateral edge of the chondroid bone(C-C distance),medial soft tissue thickness and tibial calcaneal angle were measured by ultrasound.The data before,after treatment and during follow-up were statistically analyzed.Results A total of 88 feet of 44 infants were evaluated.The mean number of cast was 4.7±1.1,the follow-up time was(96.9±59.3)days.The MM-N distance,C-C distance and posterior tibial calcaneal angle in the clubfoot group were improved after treatment and at the last follow-up,and the differences were statistically significant(all P<0.01).During the treatment,1 case had false correction,and 2 cases recurred in the last follow-up.Conclusions Ultrasound can clearly display the medial,dorsal,lateral and posterior articular structures of normal and clubfoot,and can observe the deformity changes of clubfoot during the correction process,which can provide guidance for the clinical treatment of clubfoot.
作者
夏冰
董英梅
贺盼盼
王超华
王洪倩
袁俊英
刘福云
栗河舟
胡伟明
王飞鹏
冯国明
牛学强
董延召
Xia Bing;Dong Yingmei;He Panpan;Wang Chaohua;Wang Hongqian;Yuan Junying;Liu Fuyun;Li Hezhou;Hu Weiming;Wang Feipeng;Feng Guoming;Niu Xueqiang;Dong Yanzhao(Department of Pediatric Orthopedic,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Ultrasound,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Children′s Rehabilitation,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华超声影像学杂志》
CSCD
北大核心
2021年第11期993-997,共5页
Chinese Journal of Ultrasonography
基金
河南省医学科技攻关计划联合共建项目(2018020206)。
