内镜下足底筋膜切开术：一种治疗慢性足底筋膜炎的微创方法。
Endoscopic plantar fasciotomy: a minimally traumatic procedure for chronic plantar fasciitis.
作者信息
Hake D H
机构信息
Section on Podiatry, Ochsner Clinic, Slidell, LA.
出版信息
Ochsner J. 2000 Jul;2(3):175-8.
Endoscopic plantar fasciotomy (EPF) is a minimally invasive and minimally traumatic surgical treatment for the common problem of chronic plantar fasciitis. This procedure is indicated only for the release of the proximal medial aspect of the fascia in cases that do not respond to aggressive conservative, nonsurgical treatment. In the literature, an overall 87% success rate has been reported in 1228 procedures, in addition to an 83% success rate reported by Burke at the Northwest Podiatric Foundation Surgical Seminar in January 2000. The author's personal experience with 41 procedures over 5 years is consistent with an overall average success of 90%. EPF complications are reduced in comparison with traditional open procedures and can be avoided in many cases when identified early and treated properly. EPF is recommended as the procedure of choice when conservative treatment measures have been exhausted.
内镜下足底筋膜切开术（EPF）是一种针对慢性足底筋膜炎这一常见问题的微创、微创伤手术治疗方法。该手术仅适用于在积极的保守、非手术治疗无效的情况下，松解筋膜近端内侧部分。文献报道，在1228例手术中总体成功率为87%，此外，伯克在2000年1月的西北足病基金会外科研讨会上报告的成功率为83%。作者5年来对41例手术的个人经验与总体平均90%的成功率相符。与传统开放手术相比，EPF的并发症有所减少，并且如果早期发现并妥善处理，在许多情况下可以避免。当保守治疗措施用尽时，推荐EPF作为首选手术。
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