脊髓灰质炎后遗症严重骨关节畸形矫治与远期疗效观察

Long Term Follow-up of the Severe Joint Deformities in Sequela of Polio Patients

目的:本文报道1725例次脊髓灰质炎后遗症(Polio)严重骨关节畸形矫治系列研究经验及远期疗效观察。方法:采用作者改良及自行设计的新术式,结合功能训练及矫形器。结果:平均随访4.3年,根据畸形纠正,功能恢复,截骨部位X线表现及自我感觉等四个方面综合评定,总优良率占95.8％,有效率占98.93％。结论:本组治疗设计合理,效果满意,有一定创新性和推广使用价值。

Tis article reported the long term result of 1725 cases of severe joint deformities due to sequela of polio treated by operation, as well as their treatment experience and research. The new operative procedures designed by the authors were used accompanied with functional rehabilitation and orthoses. At an average follow-up 4. 3 years,the evaluation of the result was depended on the correction of deformity,recovery of function, X-ray examination,the state of the bone operated on and the patient's self-feelings. The total excellent and good rate is 95. 8%,the effective rate is 98. 93%. The design is convincoble,the results are satisfactory, and there is certain sense of innovation and worth for essential application.