Carroll手术入路治疗马蹄内翻足疗效观察

Observation of curative effect by Carroll operation approach in the treatment of congenital talipes equinovarus

目的探讨Carroll手术入路治疗马蹄内翻足的临床疗效。方法回顾性分析采用Carroll手术入路治疗马蹄内翻足93例（133足）患儿临床资料,评估临床疗效及复发率。结果所有患儿术后随访6个月-3年,平均随访2.1年。其中优126足（88例）,良4足（3例）,可3足（2例）,优良率为97.74%;本组复发25足（17例）,未复发108足（76例）,复发率为18.80%。复发组术前Pirani评分、初始石膏矫正次数明显高于未复发组,差异具有统计学意义（t=3.345、3.338,P〈0.05）。结论 Carroll手术入路治疗马蹄内翻足可获得满意的疗效,且复发病例术前Pirani评分和初始石膏矫正次数均高于未复发者。

Objective To investigate clinical effect by Carroll operation approach in the treatment of congenital talipes equinovarus. Methods Clinical data of 93 children（133 feet） receiving Carroll operation approach in the treatment of congenital talipes equinovarus were retrospectively analyzed. Their clinical effects and recurrence rates were evaluated. Results All children received postoperative follow-up for 6 months -3 years, with average time as 2.1 years. There were 126 excellent feet（88 cases）, 4 good feet（3 cases）, and 3 moderate feet（2 cases）, with the good rate as 97.74%. There were 25 recurrent feet（17 cases） and 108 nonrecurrent feet（76 cases）, with the recurrence rate as 18.80%. The recurrent group had much higher preoperative Pirani score and primary gypsum correction times than the non-recurrent group, and their difference had statistical significance（t=3.345, 3.338, P0.05）. Conclusion Carroll operation approach provides satisfactory effect in treating congenital talipes equinovarus, and recurrent cases had all higher preoperative Pirani score and primary gypsum correction times than the non-recurrent cases.