Liu Wanlin.Strengthening the popularization and standardization of Ponseti technique and further boosting its clinical efficacies for congenital talipes equino varus[J].Journal of Clinical Pediatric Surgery,2020,19(09):761-764.[doi:10.3969/j.issn.1671-6353.2020.09.001]
加强Ponseti技术的普及与规范,提高先天性马蹄内翻足的临床疗效
- Title:
- Strengthening the popularization and standardization of Ponseti technique and further boosting its clinical efficacies for congenital talipes equino varus
- Keywords:
- Equinus Deformity/TH; Ponseti Technique
- 分类号:
- R726.8;R681.8;R682.1+6
- 摘要:
- 先天性马蹄内翻足（congenital talipes equino varus，CTEV）临床常见，延误或不当治疗不仅给患儿带来巨大的身心痛苦，也给父母和社会带来极大的心理及社会负担。Ponseti技术是治疗所有CTEV初始阶段的理想方法，正确使用该方法会大大减少由CTEV引起的残疾。然而，Ponseti技术在我国开展尚不普遍，方法还未完全统一，部分医疗机构不能完全规范地按照标准方法进行技术操作。在开展该方法的诸多医疗机构中，重视程度亦远远不够，许多机构也仅限于开展。由于治疗方法及规范未能统一，治疗结局也差强人意，一些医疗机构过早介入手术等方法，使整体治疗效果令人堪忧。本文就中国开展Ponseti方法的现状及非步行年龄、步行年龄、非典型及复发CTEV的治疗、管理与问题做一述评，期望通过加强Ponseti技术的普及与规范，不断提高CTEV的临床治疗效果。
- Abstract:
- Congenital equinovarus equinovarus (CTEV) is one of the most common congenital diseases.And its delayed or improper treatment brings great physical and mental pain to children and causes great psychological and social burdens to both parents and society.Ponseti technique is an ideal initial treatment of CTEV and correct application of this method greatly reduces the relevant disabilities.However,domestic development of Ponseti technique has remained preliminary and non-standardized.Even at many medical institutions of practicing this method,the degree of sophistication is insufficient.Since the methods and norms are not unified,the outcomes are often non-satisfactory.Some clinicians have intervened prematurely surgically.This review summarized the current domestic status of Ponseti technique,non-walking age,walking age,managements and problems of atypical and recurrent CTEV.The goal was to further boost the clinical therapeutic efficacy of CTEV by strengthening the popularization and standardization of Ponseti technique.
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相似文献/References:
[1]滕水生 王权发 娄辉 蔡泽平 李红卫 张勤俭 梁振 卢瑶华 王国彦 李祖桂. Ponseti技术治疗婴幼儿先天性马蹄内翻足62例[J].临床小儿外科杂志,2012,11(02):137.
[2]姜海,邱裕生.先天性马蹄内翻足经Ponseti方法治疗后复发的处理对策[J].临床小儿外科杂志,2020,19(09):785.[doi:10.3969/j.issn.1671-6353.2020.09.005]
Jiang Hai,Qiu Yusheng.Therapeutic advances of recurrent congenital clubfoot after Ponseti method in children[J].Journal of Clinical Pediatric Surgery,2020,19(09):785.[doi:10.3969/j.issn.1671-6353.2020.09.005]
备注/Memo
收稿日期:2020-06-18。
基金项目:内蒙古自治区科技计划项目（编号：201802155，2019GG153）
作者简介:刘万林,Email:liuwanlinnmg@sian.com