用内镜治疗的症状附属 navicular 附属 navicular 和部分 navicular 切除
1Center for Foot and Ankle Surgery, Department of Orthopedic Surgery, Yashio Central General Hospital, Saitama, Japan.
Foot & ankle international
|January 18, 2025
概括
内镜辅助 navicular (AN) 切除有效地治疗症状的AN,显著改善患者的疼痛和功能. 这种微创手术显示出良好的结果,并发症最小.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚手术 脚和脚手术
- 最少侵入性手术的方法
背景情况:
- 症状辅助 navicular (AN) 可以导致足部显著疼痛和功能障碍.
- 对于对保守治疗无反应的持续症状,可以考虑进行手术.
研究的目的:
- 评估内镜辅助导管 (AN) 和部分导管切除的临床结果.
- 评估这种微创方法对症状性AN的疗效和安全性.
主要方法:
- 对2型症状AN患者的医疗记录的回顾性审查.
- 分析内镜手术后的临床,放射和患者报告的结果.
- 在29名患者中,平均随访时间为39.5个月.
主要成果:
- 视觉模拟尺度 (VAS) 疼痛评分 (74.6至5.4) 的显著改善.
- 在日本足部外科协会 (JSSF) 的得分 (63.0到95.9) 中显著提升.
- 一例伤口脱光;没有报告其他重大并发症. 术后成像显示,状组织填充了切除的空间.
结论:
- 内镜辅助导管 (AN) 和部分导管切除是对症状性AN的有效治疗方法.
- 这种手术给患者带来了良好的结果,并发症率低.
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