| 微创拇外翻病症诊疗体系指导治疗拇外翻的临床疗效观察 |
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Received:June 12, 2025
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| 作者 | Author | 单位 | Unit | E-Mail |
| 蔡沛彪 |
CAI Pei-biao |
汕头市中医医院, 广东 汕头 515041 |
Shantou Hospital of Traditional Chinese Medicine, Shantou 515041, Guangdong, China |
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| 豆以彪 |
DOU Yi-biao |
中国藏学研究中心北京藏医院, 北京 100029 |
Beijing Hospital of Tibetan Medicine of China Tibetology Research Center, Beijing 100029, China |
dddyyybbb@126.com |
| 林创坚 |
LIN Chuang-jian |
汕头市中医医院, 广东 汕头 515041 |
Shantou Hospital of Traditional Chinese Medicine, Shantou 515041, Guangdong, China |
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| 温冠楠 |
WEN Guan-nan |
中国中医科学院望京医院, 北京 100102 |
Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 陈海波 |
CHEN Hai-bo |
汕头市中医医院, 广东 汕头 515041 |
Shantou Hospital of Traditional Chinese Medicine, Shantou 515041, Guangdong, China |
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| 王创明 |
WANG Chuang-ming |
汕头市中医医院, 广东 汕头 515041 |
Shantou Hospital of Traditional Chinese Medicine, Shantou 515041, Guangdong, China |
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| 期刊信息：《中国骨伤》2025年38卷，第6期，第566-571页 |
| DOI：10.12200/j.issn.1003-0034.20250505 |
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目的：探讨微创拇外翻病症诊疗体系指导治疗拇外翻的短期临床疗效。
方法：自2021年3月至2023年11月以微创拇外翻病症诊疗体系为指导治疗68例拇外翻患者(136足),男12例,女56例;年龄25~68(42.5±8.5)岁;病程3.2~15.6(10.3±2.6)年。分别于术前、术后12个月记录并比较拇外翻角(hallux valgus angle,HVA)及第1、2跖骨间角(intermetatarsal angle,IMA)的变化情况,采用疼痛视觉模拟评分(visual analogue scale,VAS)、美国骨科学会足踝外科学会(American Orthopaedic Foot Ankle Society,AOFAS)前足评分系统评价临床疗效。
结果：65例(130足)患者获得了随访,时间12~15(13.8±0.5)个月,脱落病例3例(6足)未按规定进行随访。HVA、IMA分别由术前的(35.5±3.5)°、(12.5±2.0)°,改善至术后12个月的(10.5±2.5)°、(8.5±1.5)°,差异均有统计学意义(P<0.05);VAS由术前的(5.5±1.2)分,降至术后12个月为(1.2±0.5)分,差异有统计学意义(P<0.05);AOFAS前足评分由术前的(50.6±5.1)分,提高至术后12个月(93.8±5.6)分,差异有统计学意义(P<0.05),其中优102足,良24足,可4足。2例出现小腿肌间静脉血栓,经对症治疗3个月后痊愈。
结论：微创拇外翻病症诊疗体系指导治疗拇外翻能明显改善患者的HVA和IMA,减轻疼痛症状,加快功能恢复。 |
| [关键词]:微创 拇外翻 外固定 中西医结合 静脉血栓 |
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| Clinical efficacy of hallux valgus under the guiding of minimally invasive hallux valgus diagnosis and treatment system |
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Abstract:
Objective To explore short-term clinical efficacy of minimally invasive diagnosis and treatment system for hallux valgus in guiding the treatment of hallux valgus.
Methods From March 2021 to November 2023,68 patients (136 feet) with hallux valgus were treated under guidance of minimally invasive diagnosis and treatment system,including 12 males and 56 females;aged from 25 to 68 years old with an average of (42.5±8.5) years old,the course of disease ranged from 3.2 to 15.6 years with an average of (10.3±2.6) years. The changes of hallux valgus angle (HVA) and intermetatarsal angle (IMA),visual analog scale (VAS) and American Orthopaedic Foot Ankle Society (AOFAS) forefoot score were recorded and compared before operation and 12 months after operation.
Results Sixty-five patients (130 feet) were followed up for 12 to 15 months with an average of (13.8±0.5) months,3 patients (6 feet) were not followed up as required. HVA and IMA improved from (35.5±3.5) ° and (12.5±2.0) ° before operation to (10.5±2.5) ° and (8.5±1.5) °12 months after operation,respectively,with statistically significant differences (P<0.05);VAS decreased from (5.5±1.2) before operation to (1.2±0.5) at 12 months after operation,and the difference was statistically significant (P<0.05);AOFAS forefoot score increased from (50.6±5.1) before operation to (93.8±5.6) at 12 months after operation,with a statistically significant difference (P<0.05). Among them,102 feet were got excellent result,24 feet good,and 4 feet fair. Two patients were developed calf intermuscular vein thrombosis,and were cured after 3 months of symptomatic treatment.
Conclusion Under the guidance of minimally invasive diagnosis and treatment system for hallux valgus,the treatment of HV could obviously improve HVA and IMA,and significantly alleviate pain symptoms,and accelerate functional recovery. |
| KEYWORDS:Minimally invasive Hallux valgus External fixation Integrated Chinese and Western medicine Vein thrombosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 蔡沛彪,豆以彪,林创坚,温冠楠,陈海波,王创明.微创拇外翻病症诊疗体系指导治疗拇外翻的临床疗效观察[J].中国骨伤,2025,38(6):566~571 |
| 英文格式: | CAI Pei-biao,DOU Yi-biao,LIN Chuang-jian,WEN Guan-nan,CHEN Hai-bo,WANG Chuang-ming.Clinical efficacy of hallux valgus under the guiding of minimally invasive hallux valgus diagnosis and treatment system[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(6):566~571 |
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