论文部分内容阅读
报告并评价早期肌力平衡手术治疗先天性马蹄内翻足的远期疗效。１９５７～１９９４年采用早期矫正畸形建立肌力平衡手术治疗３个月～１２岁儿童先天性马蹄内翻足１０８８例１５２１足。采用自行制定的疗效评定标准，对术后６～３６年（平均１１年６个月）、随访时年龄１３～４０岁的１２８例１８８足（其中年龄在１８岁以上５２例７４足）的远期疗效进行评价。总优良率８９．４％，骨骼完全成熟患儿的优良率８９．２％。手术疗效与足踝部主要肌肉功能、术前足畸形程度和手术时年龄均有明显关系（Ｐ＜０．０５）。手术操作不当也可影响手术疗效。早期矫正畸形并建立动态肌力平衡手术是治疗儿童先天性马蹄内翻足的有效方法，能取得外观及功能满意的远期疗效。
Report and evaluate the long-term efficacy of early strength balance surgery for congenital clubfoot. 1957 to 1994 the use of early correction of abnormalities to establish muscle strength balance surgery for 3 months to 12 years old children with congenital clubfoot 1088 cases 1521 feet. The self-made curative effect evaluation standard was used to evaluate the curative effect of 128 patients (188 feet aged over 18 years old and 52 cases 74 feet) at 6 to 36 years (mean 11 years and 6 months) and 13 to 40 years at follow-up Period of efficacy evaluation. The total excellent rate was 89.4%, the rate of excellent and good rate of 89.2% of the children with complete bone maturation. The operative efficacy was related to the major muscular function in ankle and foot, the degree of preoperative ankle deformity and the age of operation (P <0.05). Improper surgical operation can also affect the surgical outcome. Early correction of deformity and the establishment of dynamic balance of muscle strength is an effective method for the treatment of children with congenital clubfoot, can obtain the appearance and function of long-term efficacy.