目的探讨经单一内侧切口Austin跖骨截骨联合收肌、跖横韧带切断治疗轻中度外翻的临床疗效。方法 2006年5月-2009年1月,收治41例45足轻中度外翻。男9例10足,女32例35足;年龄23～71岁,平均45.3岁。左足22例,右足15例,双足4例。外翻...目的探讨经单一内侧切口Austin跖骨截骨联合收肌、跖横韧带切断治疗轻中度外翻的临床疗效。方法 2006年5月-2009年1月,收治41例45足轻中度外翻。男9例10足,女32例35足;年龄23～71岁,平均45.3岁。左足22例,右足15例,双足4例。外翻角(hallux valgus angle,HVA)为(33.1±1.4)°,第1、2跖间角为(20.4±1.1)°。患足功能根据美国矫形足踝协会(AOFAS)踝与后足评分标准评分为(47.2±3.7)分。于第1趾跖关节内侧作纵形切口,同时完成Austin跖骨截骨及收肌、跖横韧带等外侧软组织松解术。结果术中1足腓浅神经足背支损伤,行显微缝合修复。术后患者切口均Ⅰ期愈合。41例均获随访,随访时间16～36个月,平均26个月。术后3 d 2足出现前足内侧麻木,6周内自行缓解。X线片检查示截骨处均于8周内达骨性愈合。末次随访时HVA为(10.7±1.7)°,与术前比较差异有统计学意义(t=22.32,P=0.00);第1、2跖间角为(12.1±1.7)°,与术前比较差异亦有统计学意义(t=21.17,P=0.03)。AOFAS踝与后足评分为(84.9±4.5)分,与术前比较差异有统计学意义(t=20.75,P=0.01)。随访期间无内翻、外翻及跖骨头坏死等并发症发生。结论经单一内侧切口Austin跖骨截骨联合收肌、跖横韧带等外侧软组织松解能有效矫正轻中度外翻,手术创伤小,避免了外侧切口瘢痕及腓深神经分支损伤等并发症的发生。展开更多
Jane Austin occupies an unique position in English literature history. She enjoys a large reading public, and even today, she is still becoming more popular, why? This article presents some of the possible reasons tha...Jane Austin occupies an unique position in English literature history. She enjoys a large reading public, and even today, she is still becoming more popular, why? This article presents some of the possible reasons that account for her great popularity on the basis of an analysis of the attributes that feature her works.展开更多
Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical,worldwide popular novels.This essay tries to reveal the heroines' epitome in her works through analyzing...Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical,worldwide popular novels.This essay tries to reveal the heroines' epitome in her works through analyzing Jane Austin' s personal experiences and her love life.展开更多
Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical and popular novels,which are the portrayal of the late eighteenth and the early nineteenth centuries,althoug...Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical and popular novels,which are the portrayal of the late eighteenth and the early nineteenth centuries,although with a certain limitation.This paper tries to reveal the social history,the economic realities as well as the women's social statues of Jane Austin's day through her fictions.展开更多
文摘目的探讨经单一内侧切口Austin跖骨截骨联合收肌、跖横韧带切断治疗轻中度外翻的临床疗效。方法 2006年5月-2009年1月,收治41例45足轻中度外翻。男9例10足,女32例35足;年龄23～71岁,平均45.3岁。左足22例,右足15例,双足4例。外翻角(hallux valgus angle,HVA)为(33.1±1.4)°,第1、2跖间角为(20.4±1.1)°。患足功能根据美国矫形足踝协会(AOFAS)踝与后足评分标准评分为(47.2±3.7)分。于第1趾跖关节内侧作纵形切口,同时完成Austin跖骨截骨及收肌、跖横韧带等外侧软组织松解术。结果术中1足腓浅神经足背支损伤,行显微缝合修复。术后患者切口均Ⅰ期愈合。41例均获随访,随访时间16～36个月,平均26个月。术后3 d 2足出现前足内侧麻木,6周内自行缓解。X线片检查示截骨处均于8周内达骨性愈合。末次随访时HVA为(10.7±1.7)°,与术前比较差异有统计学意义(t=22.32,P=0.00);第1、2跖间角为(12.1±1.7)°,与术前比较差异亦有统计学意义(t=21.17,P=0.03)。AOFAS踝与后足评分为(84.9±4.5)分,与术前比较差异有统计学意义(t=20.75,P=0.01)。随访期间无内翻、外翻及跖骨头坏死等并发症发生。结论经单一内侧切口Austin跖骨截骨联合收肌、跖横韧带等外侧软组织松解能有效矫正轻中度外翻,手术创伤小,避免了外侧切口瘢痕及腓深神经分支损伤等并发症的发生。
文摘Jane Austin occupies an unique position in English literature history. She enjoys a large reading public, and even today, she is still becoming more popular, why? This article presents some of the possible reasons that account for her great popularity on the basis of an analysis of the attributes that feature her works.
文摘Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical,worldwide popular novels.This essay tries to reveal the heroines' epitome in her works through analyzing Jane Austin' s personal experiences and her love life.
文摘Jane Austin(1775-1817),one of the greatest realistic novelists in English literature,wrote several classical and popular novels,which are the portrayal of the late eighteenth and the early nineteenth centuries,although with a certain limitation.This paper tries to reveal the social history,the economic realities as well as the women's social statues of Jane Austin's day through her fictions.
