Miszczyk Leszek, Woźniak Grzegorz, Jochymek Bozena, Trela Krystyna, Urban Andrzej
Zakład Radioterapii, Centrum Onkologii, Instytut im. M. Skłodowskiej-Curie, Oddział w Gliwicach.
Chir Narzadow Ruchu Ortop Pol. 2003;68(3):191-5.
The radiotherapy results of 46 calcaneal spurs were analysed. Patients were irradiated using fraction dose of 1.0 Gy, 1.5 Gy or 2.0 Gy up to total dose of 2.0-22.5 Gy. All patients previously had chronic pain in the plantar region influencing possibility of walking and not reacting for conventional treatment. Whole group was periodically controlled after the treatment completion. The mean follow-up period was 12.5 months. The complete pain relief was observed in 9% cases one month after treatment and in 52% during the last control. The lack of analgetic effect was noted only in 3% cases as well one month after the treatment as during the last examination. Performed statistical analysis showed only inverse significant correlation between degree of pain relief six months after the treatment and duration of symptoms. Obtained results allow to form conclusion that radiotherapy of calcaneal spurs is easy, effective and safe way of analgetic treatment giving good results after low fraction and total delivered doses and that its efficacy depends on symptoms duration what is correlated to disease stage.
分析了46例跟骨骨刺的放射治疗结果。患者接受1.0 Gy、1.5 Gy或2.0 Gy的分次剂量照射，总剂量达2.0 - 22.5 Gy。所有患者此前均有足底区域慢性疼痛，影响行走能力且对传统治疗无反应。治疗结束后对整个组进行定期随访。平均随访期为12.5个月。治疗后1个月9%的病例疼痛完全缓解，末次随访时为52%。治疗后1个月及末次检查时均仅有3%的病例未观察到镇痛效果。进行的统计分析显示，治疗后6个月的疼痛缓解程度与症状持续时间之间仅存在显著负相关。所得结果可以得出结论，跟骨骨刺的放射治疗是一种简便、有效且安全的镇痛治疗方法，在低分次剂量和总剂量照射后效果良好，其疗效取决于症状持续时间，而症状持续时间与疾病阶段相关。
