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目的通过对脑瘫、脊柱裂导致足部畸形的探讨,对足部畸形的病因、病理、诊断及康复疗效进行分析。方法对38例脑瘫合并隐性脊柱裂病人所致46足部畸形,马蹄足、马蹄内翻足、马蹄外翻足及高弓足畸形,均进行了术前康复、足部畸形矫正手术及术后的康复训练。结果结合足部畸形的矫正程度及患者的满意程度进行综合评定,优25足,良15足,差6足,优良率87%。所以术前康复+手术治疗+术后康复训炼是脑瘫、隐性脊柱裂导致足部畸形康复的3大要素。
Objective To investigate the causes of foot deformities caused by cerebral palsy and spina bifida and analyze the etiology, pathology, diagnosis and rehabilitation of foot deformities. Methods 38 cases of cerebral palsy with recessive spina bifida 46-foot deformity, clubfoot, clubfoot, clubfoot and high arch foot deformity, were performed preoperative rehabilitation, orthodontics and orthopedic surgery After the rehabilitation training. Results Combined with the degree of correction of foot deformity and the degree of satisfaction of patients, the results were excellent in 25 feet, good in 15 feet and poor in 6 feet, and the excellent and good rate was 87%. Therefore, preoperative rehabilitation + surgical treatment + postoperative rehabilitation training is cerebral palsy, recessive spine lead to deformity rehabilitation of the three elements.