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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 the clinical effect of Carroll operation for the treatment of clubfoot. Methods The clinical data of 93 children (133 feet) with clubfoot treated by Carroll operation were retrospectively analyzed to evaluate the clinical efficacy and recurrence rate. Results All children were followed up for 6 months to 3 years, with an average follow-up of 2.1 years. Among them, 126 cases were excellent (88 cases), 4 cases good (4 cases) and 3 cases (2 cases), excellent and good rate was 97.74% The recurrence rate was 18.80%. The Pirani score and initial gypsum correction in the recurrence group were significantly higher than those in the non-recurrence group (t = 3.345, 3.338, P <0.05). Conclusion Carroll operation can be used to treat the clubfoot with satisfactory curative effect, and the Pirani score and the number of initial gypsum correction in the recurrence cases are higher than those without recurrence.