改良韧带松解法治疗踝管综合征的解剖学基础与疗效

Anatomical basis and efficacy of modified release of ligament in treatment of patients with tarsal tunnel syndrome

摘要: 目的：探讨改良韧带松解法治疗踝管综合征的解剖学基础与疗效。方法通过注射器针头或是圆针点状针刺对3具新鲜尸体的6个踝关节的分裂韧带（屈肌支持带）进行松解延长，观察韧带最大延长限度，并扩大踝管。待技术成熟后，将该技术用于临床30例患者的手术治疗。结果 Pfeiffer 法评价显示，优20例，良8例，差2例。结论采用点状针刺对分裂韧带（屈肌支持带）行松解延长是可行的，值得推广。

Abstract: Objective To explore the anatomical basis and efficacy of modified release of lig-ament in treatment of patients with tarsal tunnel syndrome.Methods A syringe needle or a round pin was used to puncture at 6 ligaments of flexor retinaculum in 3 fresh cadavers′ankle in order to prolong the ligaments,study the maximum extension of the flexor retinaculum ligaments and ex-pand the malleolar canal.Then this method can be applied for 30 patients with tarsal tunnel syn-drome.Results Pfeiffer′s evaluation method showed that 20 patients had a excellent score,8 pa-tients had a good score,and only 2 patients had a poor score.Conclusion Application of point acupuncture in prolong of ligaments can be used as a new surgical treatment for patients with tarsal tunnel syndrome.