摘要
目的探讨不同初始治疗年龄对Ponseti与Carroll方法治疗的先天性马蹄内翻足患儿的疗效影响。方法湖北医药学院第一临床学院在2008年1月至2011年5月将入院的120例患儿随机分为两组,A组采用Ponseti方法治疗,B组采用Carroll方法治疗。观察各个年龄组手术情况、治疗结果并随访。结果 0～6个月Ponseti组的拆除最后一次石膏时Pirani评分和石膏矫形次数低于Carroll组,治疗有效率高于Carroll组,差异有统计学意义(P<0.05)。7～12个月Carroll治疗组的拆除最后一次石膏时Pirani评分和石膏矫形次数低于Ponseti组,治疗有效率高于Ponseti组,差异有统计学意义(P<0.05)。大于1～3岁Carroll治疗组拆除最后一次石膏时Pirani评分和石膏矫形次数低于Ponseti组,治疗有效率高于Ponseti组,差异有统计学意义(P<0.05)。随访时间12～30个月。A1组总复发率低于B1组,差异有统计学意义(P<0.05)。B2组总复发率低于A2组,差异有统计学意义(P<0.05)。结论 Ponseti与Carroll方法治疗都是治疗先天性马蹄内翻足患儿的有效方法,治疗时应根据患儿的年龄选择合适的方法。
Objective To investigate the efficacy of the Ponseti and Carroll method in treatment of congenital clubfoot children at different ages.Methods During January 2008 to May 2011,120 patients were randomly divided into 2 groups.Group A used the ponseti treatment and group B used the carroll treatment.Operative situations and efficacy of different age groups were observed and followed-up.Results The Pirani score and the number of casts used of ponseti group at the age of 0 to 6 months were significantly lower than Carroll group and treatment efficiency was higher than Carroll group（P＆lt;0.05）.The Pirani score and the number of casts used of Carroll group at the age of 6 to 12 months were significantly lower than the ponseti group and treatment efficiency was higher than ponseti group（P＆lt;0.05）.The Pirani score and the number of casts used of Carroll group at the age of 1 to 3 years old were significantly lower than the ponseti group and treatment efficiency was higher than ponseti group（P＆lt;0.05）.Follow-up time was 12 to 30 months.The relapse rate of group A1 was significantly lower than group B1（P＆lt;0.05）.The relapse rate of group B2 was significantly lower than group A2（P＆lt;0.05）.Conclusion Ponseti treatment and Carroll are effective method in of treatment of congenital club foot in children.To select the appropriate method should be based on the age of the child.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第18期2064-2066,共3页
Chongqing medicine
基金
国家自然科学基金资助项目(81171716)
