踝管综合征是现在常见的一种外周神经疾病,主要是因为踝管内的胫后神经或其终末支受压迫而导致的一类疾病。随着临床研究及治疗的不断深入,踝管综合征的治疗方法不断优化。踝管综合征若不及时治疗,后期可出现局部和足底放射性疼痛、麻木。因此选择个体化的治疗方式,加快功能恢复,提高患者的生活质量,是目前治疗这个疾病的重点。此文将从踝管解剖结构、治疗方式及中医药认识等多个方面作一研究,为踝管综合征的治疗提供一些思路。Ankle tunnel syndrome is a common peripheral nerve disease, mainly caused by compression of the posterior tibial nerve or its terminal branches within the ankle tunnel. With the continuous deepening of clinical research and treatment, the treatment methods for ankle tunnel syndrome are constantly being optimized. If ankle tunnel syndrome is not treated in a timely manner, local and plantar radiation pain and numbness may occur in the later stage. Therefore, choosing personalized treatment methods to accelerate functional recovery and improve patients’ quality of life is currently the focus of treating this disease. This article will conduct research from multiple aspects such as the anatomical structure of the ankle canal, treatment methods, and understanding of traditional Chinese medicine, providing some ideas for the treatment of ankle canal syndrome.
目的:探讨针刀联合手法加足弓矫正器对跖筋膜炎的疗效及对足弓功能重建的影响。方法:将120例患有跖筋膜炎的患者随机分成针刀治疗组、手法加足弓矫正器组和联合治疗组,每组各40例。针刀治疗组单纯予以针刀治疗,手法加足弓矫正器组予以手法加足弓矫正器治疗,联合治疗组为针刀治疗联合手法加足弓矫正器治疗。治疗前与治疗3个月后采用疼痛视觉模拟量表评分、美国足踝外科协会踝–后足评分比较进行评估。治疗3个月、1年后随访患者复发率。结果:治疗3个月后针刀治疗组、手法加足弓矫正器组和联合治疗组的患者晨起行走时视觉模拟评分值、美国矫形外科足踝协会评分值的比较均较治疗前改善,并且联合治疗组对晨起时的疼痛视觉模拟评分值、美国矫形外科足踝协会评分值的改善情况明显优于针刀治疗组和手法加足弓矫正器组,P 0.05,差异无统计学意义。治疗1年后针刀治疗组、手法加足弓矫正器组和联合治疗组的复发率分别为37.50% (15/40)、40.00% (16/40)、12.50% (5/40),P Objective: To investigate the effect of acupotomy combined with manipulation and arch orthosis on plantar fasciitis and the effect on the reconstruction of arch function. Methods: 120 patients with digital fasciitis were randomly divided into acupotomy group, manipulation combined with arch orthosis group and combined treatment group, with 40 cases in each group. The acupotomy group was treated with acupotomy alone, the manual and arch orthotics group was treated with manual and arch orthotics, and the combined treatment group was acupotomy combined with manual and arch orthotics. The visual analogue scale of pain and the American Foot and Ankle Surgical Association’s ankle-posterior foot score were compared before treatment and 3 months after treatment. The recurrence rate was followed up 3 months and 1 year after treatment. Results: After 3 months of treatment, the visual a
