中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2010年
33期
2317-2319
,共3页
刘玉杰%王晓%王志刚%陈旭%李众利%蔡谞%齐玮%李春宝%魏民%朱娟利
劉玉傑%王曉%王誌剛%陳旭%李衆利%蔡谞%齊瑋%李春寶%魏民%硃娟利
류옥걸%왕효%왕지강%진욱%리음리%채서%제위%리춘보%위민%주연리
跟腱%关节镜检查%外科手术,最小侵入性
跟腱%關節鏡檢查%外科手術,最小侵入性
근건%관절경검사%외과수술,최소침입성
Achilles tendon%Arthroscopy%Surgical procedure,minimally invasive
目的 观察慢性跟腱炎的分型与局部麻醉下关节镜微创治疗的效果.方法 2003年3月至2009年3月,采用局部麻醉下关节镜微创治疗慢性跟腱炎22例,男16例,女6例,年龄17～53岁,平均33.5岁.运动损伤16例,病因不明6例.术前根据X线片、MRI检查、CT扫描和临床特点,将其分为:增生肥大型(10例)、钙化结节型(5例)和纤维撕裂型(7例).分别采用局麻关节镜下等离子刀消融、刨削清理术治疗.结果 术后随访22例,平均随访14个月(9～54个月),采用制定的评定标准和VAS评分进行疗效评价,优:12例,良8例,可2例.无血管神经损伤、感染和跟腱断裂等并发症.结论 跟腱炎分型有助于临床诊断和治疗方案制定;局麻关节镜下微创治疗慢性跟腱炎方法可行,操作简便,疗效显著.
目的 觀察慢性跟腱炎的分型與跼部痳醉下關節鏡微創治療的效果.方法 2003年3月至2009年3月,採用跼部痳醉下關節鏡微創治療慢性跟腱炎22例,男16例,女6例,年齡17～53歲,平均33.5歲.運動損傷16例,病因不明6例.術前根據X線片、MRI檢查、CT掃描和臨床特點,將其分為:增生肥大型(10例)、鈣化結節型(5例)和纖維撕裂型(7例).分彆採用跼痳關節鏡下等離子刀消融、鑤削清理術治療.結果 術後隨訪22例,平均隨訪14箇月(9～54箇月),採用製定的評定標準和VAS評分進行療效評價,優:12例,良8例,可2例.無血管神經損傷、感染和跟腱斷裂等併髮癥.結論 跟腱炎分型有助于臨床診斷和治療方案製定;跼痳關節鏡下微創治療慢性跟腱炎方法可行,操作簡便,療效顯著.
목적 관찰만성근건염적분형여국부마취하관절경미창치료적효과.방법 2003년3월지2009년3월,채용국부마취하관절경미창치료만성근건염22례,남16례,녀6례,년령17～53세,평균33.5세.운동손상16례,병인불명6례.술전근거X선편、MRI검사、CT소묘화림상특점,장기분위:증생비대형(10례)、개화결절형(5례)화섬유시렬형(7례).분별채용국마관절경하등리자도소융、포삭청리술치료.결과 술후수방22례,평균수방14개월(9～54개월),채용제정적평정표준화VAS평분진행료효평개,우:12례,량8례,가2례.무혈관신경손상、감염화근건단렬등병발증.결론 근건염분형유조우림상진단화치료방안제정;국마관절경하미창치료만성근건염방법가행,조작간편,료효현저.
Objective To investigate the clinical classification of chronic achilles tendinitis and analyze the surgical technique and efficacy of arthroscopic surgery. Methods Twenty-two patients ( 16 males, 6 females) with chronic achilles tendinitis were recruited. The average age was 33.5 years old ( range: 17-53). Sixteen cases were caused by sport injury while 6 cases had no definite etiological factor.The Achilles tendinopathy was divided into three types according to clinical characteristics and the results of X ray, CT scan and MRI examination of ankle: Type 1, hypertrophy (n = 10); Type 2, calcified tubercle (n = 5 ); Type 3, fiber tear (n = 7 ). All cases were treated with endoscopic debridement of ventral neovascularized area, poritendineum and Achilles tendon by shaver and radiofrequency (RF) probe.Resuits The patients were followed-up for a mean of 14 months (range: 9-15). Evaluated by our criteria and visual analogue scale, the post-operative efficacy was excellent in 12 cases, good in 8 and fair in 2. No postoperative complications, such as neurovascular injury, infection and rupture of Achilles tendon, was recorded. Conclusion This scheme of classifying is helpful to the diagnosis and effective treatment of chronic Achilles tendonitis. With a high safety and a satisfactory efficacy, arthroscopic surgery has the advantages of minimally invasiveness.
