目的：比较改良经皮与开放跟腱延长术治疗跟腱挛缩症的临床疗效。方法选取本院2009年1月~2013年12月收治的100例（106足）跟腱挛缩症患者为研究对象，入院后按照抽签随机取样法将其分为常规组(54足)和改良组(52足)。常规组采用开放跟腱...目的：比较改良经皮与开放跟腱延长术治疗跟腱挛缩症的临床疗效。方法选取本院2009年1月~2013年12月收治的100例（106足）跟腱挛缩症患者为研究对象，入院后按照抽签随机取样法将其分为常规组(54足)和改良组(52足)。常规组采用开放跟腱延长术治疗；改良组采用改良经皮小切口跟腱延长术治疗。观察比较两组患者各项临床指标；根据踝关节背伸活动度、活动能力等比较两组治疗后临床疗效；比较两组患者切口感染、皮肤坏死、跟腱粘连等术后不良反应发生率。结果改良组患者手术时间、术中出血量、住院时间均显著低于常规组(t1=29.7、P1=0.000， t2=35.2、P2=0.000，t3=7.18、P3=0.001)。改良组有效率显著高于常规组(92.0% vs 58.0%，χ2=15.4，P=0.000)，不良反应发生率显著低于常规组(20.0% vs 6.0%，χ2=4.33，P=0.036)。结论对于跟腱挛缩症患者，改良经皮小切口跟腱延长术的有效性和安全性显著优于开放跟腱延长术，值得临床推广应用。展开更多
Since China＇s reform and opening up, the life expectancy of the population has prolonged. As a result, the trend of population aging is becoming increasingly serious. The time was pushed back when young workers enter...Since China＇s reform and opening up, the life expectancy of the population has prolonged. As a result, the trend of population aging is becoming increasingly serious. The time was pushed back when young workers entered the labor market, while the phenomenon was common that the elderly who should have retired were still engaged in working. Therefore, the retirement age shall be subjected to an imperative delay. In the third Plenary Session of the 18th CPC Central Committee, the central government proposed the ＂formulation of gradual delay retirement scheme ＂, which triggered a widespread concern among all sectors in the society. Support and opposition to delay of retirement focus on the impact made by extension of retirement age on the employment. The youth employment, however, is still the issue of social concemThis paper makes a systematic study on the controversy of the relevant scholars, and makes a detailed investigation of the reasons behind the various viewpoints, which is beneficial to the judgment of the rationality between the two parties of the dispute, and then seeks the solution to the problem.展开更多
文摘目的：比较改良经皮与开放跟腱延长术治疗跟腱挛缩症的临床疗效。方法选取本院2009年1月~2013年12月收治的100例（106足）跟腱挛缩症患者为研究对象，入院后按照抽签随机取样法将其分为常规组(54足)和改良组(52足)。常规组采用开放跟腱延长术治疗；改良组采用改良经皮小切口跟腱延长术治疗。观察比较两组患者各项临床指标；根据踝关节背伸活动度、活动能力等比较两组治疗后临床疗效；比较两组患者切口感染、皮肤坏死、跟腱粘连等术后不良反应发生率。结果改良组患者手术时间、术中出血量、住院时间均显著低于常规组(t1=29.7、P1=0.000， t2=35.2、P2=0.000，t3=7.18、P3=0.001)。改良组有效率显著高于常规组(92.0% vs 58.0%，χ2=15.4，P=0.000)，不良反应发生率显著低于常规组(20.0% vs 6.0%，χ2=4.33，P=0.036)。结论对于跟腱挛缩症患者，改良经皮小切口跟腱延长术的有效性和安全性显著优于开放跟腱延长术，值得临床推广应用。
文摘Since China＇s reform and opening up, the life expectancy of the population has prolonged. As a result, the trend of population aging is becoming increasingly serious. The time was pushed back when young workers entered the labor market, while the phenomenon was common that the elderly who should have retired were still engaged in working. Therefore, the retirement age shall be subjected to an imperative delay. In the third Plenary Session of the 18th CPC Central Committee, the central government proposed the ＂formulation of gradual delay retirement scheme ＂, which triggered a widespread concern among all sectors in the society. Support and opposition to delay of retirement focus on the impact made by extension of retirement age on the employment. The youth employment, however, is still the issue of social concemThis paper makes a systematic study on the controversy of the relevant scholars, and makes a detailed investigation of the reasons behind the various viewpoints, which is beneficial to the judgment of the rationality between the two parties of the dispute, and then seeks the solution to the problem.
