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胃膜衰退在反复性的足底带炎:一个系统的审查和随机对照试验的元分析

Arantxa Pérez González¹, Amadeo Sanz-Perez², Simone Moroni³

¹Podiatry Department, Faculty of Medicine and Health Sciences, Valencia Catholic University "San Vicente Mártir", 46001 Valencia, Spain.

Journal of clinical medicine

|January 28, 2026

概括

胃半径衰退 (GR) 手术通过改善脚功能和减少部疼痛,有效地治疗反复性脚部带炎 (RPF). 这种手术选择为慢性部疼痛患者提供了持久的结果,这些患者对保守治疗没有反应.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
生物机械研究生物机械研究

背景情况:

复发性脚部带炎 (RPF) 影响高达10%的慢性脚跟疼痛患者,通常抵抗保守管理.
隔离性胃半径收缩在生物力学上与增加的足底筋张力有关,这表明手术干预的作用.
胃半衰退 (GR) 是一种外科手术技术,旨在缓解带应变并增强RPF患者的功能恢复.

研究的目的:

系统地审查和分析胃半衰退 (GR) 作为治疗复发性脚筋炎 (RPF) 的疗效.
评估GR对RPF患者足部功能,疼痛水平和脚背部屈曲的影响.
为了比较GR与其他手术干预措施,如足底筋切除术,关于恢复和结构保存.

主要方法:

一项遵循PRISMA指导方针的系统审查和元分析,在PROSPERO注册 (CRD420251028862).
包括随机对照试验评估RPF患者的GR疗效,通过PubMed,Cochrane图书馆和科学网络进行搜索.
使用RoB 2工具评估偏差风险;使用GRADE方法评估证据的确定性. 主要结局:AOFAS,VAS和FDTPA. 这些都是主要的结局.

主要成果:

与150名患者进行的五项研究显示,足部功能 (AOFAS,SMD = 0.81),疼痛减轻 (VAS,SMD = -1.17),以及脚背伸缩 (FDTPA,SMD = 0.74) 的改善具有统计学意义.
与脚部断层切除相比,GR表现出优异的术后恢复和更好地保留了形结构.
没有报告重大并发症;在术后长达六年的时间内观察到持续的益处. 由于手术技术和随访变化而引起的中度至高异质性.

结论:

胃角膜衰退是一种安全有效的手术治疗RPF,特别是在孤立的胃角膜收缩不响应保守护理的情况下.
GR显著增强脚部功能,缓解疼痛,改善脚的运动能力,提供持久的长期效果.
这些发现支持GR作为固的足底带炎的有价值的治疗选择,有助于改善患者的治疗结果.

关键词:

慢性脚下带炎慢性脚下带炎胃骨半径的延长胃骨半径的延长胃肠病的衰退胃肠病的衰退胃肠病的衰退中部胃内膜衰退的衰退脚部带炎脚部带炎

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