本文關(guān)鍵詞：先天性脛骨假關(guān)節(jié)愈合后遺留畸形的影響因素分析　出處：《南華大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:探討先天性脛骨假關(guān)節(jié)愈合后遺留畸形踝外翻、肢體力線異常、肢體不等長(zhǎng)發(fā)生的影響因素。方法:回顧分析了89例在本單位接受聯(lián)合手術(shù)治療的CPT患者信息,收集相關(guān)影響因素如:腓骨假關(guān)節(jié)、NF-1、既往手術(shù)史、性別、側(cè)別、病變位置、分型和年齡。采用單因素分析及二分類回歸分析CPT愈合后遺留畸形踝外翻、肢體力線異常、肢體不等長(zhǎng)發(fā)生的影響因素。結(jié)果:89例CPT患者全部獲得隨訪,隨訪時(shí)間2~7.58年,平均4.17±1.61年。手術(shù)時(shí)年齡0.66~12.41歲,平均3.52±2.51歲。其中54例患者愈后發(fā)生踝外翻畸形,51例愈后發(fā)生肢體力線異常,28例愈后發(fā)生肢體不等長(zhǎng)。單因素分析結(jié)果顯示:有腓骨假關(guān)節(jié)組遺留踝外翻的發(fā)生率較無(wú)腓骨假關(guān)節(jié)組高,且差異有統(tǒng)計(jì)學(xué)意義(P0.05);脛骨下段1/3假關(guān)節(jié)組遺留踝外翻的發(fā)生率較中段1/3假關(guān)節(jié)組高,且差異有統(tǒng)計(jì)學(xué)意義(P0.05);手術(shù)年齡大于3歲組遺留肢體不等長(zhǎng)的發(fā)生率較小于3歲組高,且差異有統(tǒng)計(jì)學(xué)意義(P0.05)。二分類logistic回歸分析顯示:腓骨假關(guān)節(jié)、脛骨下段1/3假關(guān)節(jié)能夠獨(dú)立顯著影響CPT愈后遺留踝外翻畸形(P0.05);手術(shù)年齡大于3歲能夠獨(dú)立顯著影響CPT愈后遺留肢體不等長(zhǎng)(P0.05)。結(jié)論:腓骨假關(guān)節(jié)及脛骨下段1/3假關(guān)節(jié)是CPT愈合后遺留踝外翻的危險(xiǎn)因素;手術(shù)年齡大于3歲是CPT愈合后遺留肢體不等長(zhǎng)的危險(xiǎn)因素。
[Abstract]:Objective: to study the deformity of ankle valgus and the abnormality of limb force line after congenital tibial pseudarthrosis healing. Methods: the information of 89 patients with CPT who received combined operation in our unit were analyzed retrospectively, and related factors such as fibula pseudarthrosis NF-1 were collected. Previous operation history, sex, side, lesion location, type and age. Univariate analysis and two-classification regression analysis were used to analyze the malformation of ankle valgus and abnormal limb force line after CPT healing. Results all 89 patients with CPT were followed up for 2 ~ 7.58 years. The mean age was 4.17 鹵1.61 years. The mean age at the time of operation was 0.66 鹵12.41 years (mean 3.52 鹵2.51 years). The results of univariate analysis showed that the incidence of left ankle valgus in the group with pseudojoint of fibula was higher than that in the group without pseudarthrosis of fibula. The difference was statistically significant (P 0.05). The incidence of left ankle valgus in the 1/3 pseudarthrosis group of the lower tibia was higher than that in the middle 1/3 pseudarthrosis group, and the difference was statistically significant (P 0.05). The incidence of limb unequal length was lower in the group older than 3 years old, and the difference was statistically significant (P 0.05). Two classification logistic regression analysis showed that the pseudarthrosis of fibula was lower than that of the group of 3 years old. The 1/3 pseudarthrosis of the lower tibia could significantly affect the left ankle valgus deformity (P0.05) after the recovery of CPT. The age of operation older than 3 could significantly affect the limb length after CPT recovery (P0.05). Conclusion: the false joint of fibula and 1/3 pseudarthrosis of lower tibia are risk factors of left ankle valgus after CPT healing. Surgical age older than 3 years is a risk factor for unequal limb length after CPT healing.
【學(xué)位授予單位】：南華大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R726.8

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