摘要
目的 探讨跖管综合征的原因、临床表现及诊断 ,并报道其治疗效果。方法 对 18例 (2 1足 )跖管综合征的患者进行了手术治疗 ,术前Takakura指数为 3～ 7分 ,平均 6 4分 ;术中发现腱鞘囊肿 15例 (17足 ) ,胫后静脉淤血、静脉曲张 2例 (3足 ) ,脂肪瘤 1例 (1足)。结果 术后随访 0 5～ 17年 ,平均 7 3年 ,症状均消失 ,无复发。Takakura指数为 9～ 10分 ,平均 9 7分。结论 跖管综合征临床上较为少见 ,原因复杂 ,临床表现多样 ,易误诊、漏诊 ;对非手术治疗效果不佳的患者 ,手术治疗可取得较好的效果。
Objective To evaluate the causes,clinical manifestations and diagnosis of tarsal tunnel syndrome. Methods Operation was performed for 18 patients ( 21 sides) with tarsal tunnel syndrome. Preoperative Takakura index was 3-7 points with an average of 6.4 points. Ganglion was found in 15 cases (17 sides), varicosity in 2 cases (3 sides) and lipoma in 1 case. Results The symptoms disappeared without recurrence in 0.5 to 17 years' follow-up (average 7.3). Postoperative Takakura index was 9-10 points (average 9.7). Conclusion Tarsal tunnel syndrome is rare in the clinical practice with varied causes and different clinical manifestations. Operation can be performed with satisfactory results for the patients unsuitable for conservative treatment.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2003年第9期829-830,共2页
Medical Journal of Chinese People's Liberation Army
