X线测量分型指导下不同手术方法治疗踇外翻畸形的疗效分析

The analysis of curative effect in different surgical treatments for hallux valgus deformity under the guidance of X-ray measurement in the classification

目的探讨依据X线测量结果的分型指导手术治疗踇外翻畸形方法的疗效分析。方法回顾性分析2000年7月至2008年5月潍坊医学院整形外科医院68例(130足)踇外翻畸形在X线测量结果的分型下选择不同的手术方法治疗的临床资料。包括:手术前后均摄双足正侧位x线片并测量分型,选择手术方式,手术时间,术后住院天数,术式的适应证和并发症亦作了一定的探讨。结果所有手术均在分型下选择不同的手术方法完成,术后愈合满意,按照标准步骤进行行列表χ2检验,P<0.01,差异有统计学意义。术后2年与术前相比,患者的踇外翻角及第1、2跖骨间夹角平均矫正16.2°和4.7°JOA评分提升30.5分。结论依据X线测量结果的分型选择手术方法是治疗疼痛性踇外翻畸形的良好选择,值得推广。

Objective Discussing the application value of treating hallux valgus deformity by a surgical method according to the typing of the measurement results of the x-surgical treatment. Methods Retrospective analysis the clinical data of 68 cases （130 feet） hallux valgus deformity in the x-measurement results under different type of surgical treatment in July 2000 to May 2008 at Weifang School of Medicine Plastic Surgery Hospital. Before and after surgery perturbation both feet are lateral x-ray measurement, classification, surgery, surgery time, days of hospitalization, make a certain discussion of complications and indication. Results All were in operation under different types of procedures completed, satisfied with healing after that, make the list X2 test by standard steps,P 〈 0. 01, showing the high notability significance of the diffirence, compared with before, hallux valgus angle and the angle between the average 1,2 metatarsal asked correction 16. 2°And 4.7° ,JOA score increase of 30. 5 points. Conclusion Based on the measurement results of the x-type to selecting method which is a good choice to treating the pain hallux valgus deformity,worthy of promotion.