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一种治疗足底足跟痛的新型微创手术:基质血管成分凝胶移植术。

A New Minimally Invasive Procedure for Treating Plantar Heel Pain: Stromal Vascular Fraction Gel Grafting.

作者信息

Wu Bihua, Xiao Shune, Yang Sanhong, Wei Zairong, Deng Chengliang

机构信息

From the Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical University.

出版信息

Ann Plast Surg. 2023 Nov 1;91(5):609-613. doi: 10.1097/SAP.0000000000003651. Epub 2023 Aug 31.

DOI:10.1097/SAP.0000000000003651
PMID:37651675
Abstract

METHODS

Fourteen patients who experienced plantar heel pain and underwent plantar heel SVF-gel grafting between January 2019 and June 2020 were included in this retrospective study. Foot pain and disability were measured at the screening visit and at the 3-, 6-, and 12-month follow-up visits. The volume of the heel fat pad was measured by magnetic resonance imaging.

RESULTS

Four of the patients had bilateral plantar heel pain, and 10 patients had unilateral plantar heel pain. All patients showed significant improvements in pain and foot function at 3 months after SVF-gel grafting compared with the baseline, with the greatest improvement at 6 months and the effect lasting 1 year or more. In addition, the thickness of the heel fat pad was significantly greater than at baseline at 3 months, and the effect lasted for 1 year or more.

CONCLUSION

Stromal vascular fraction gel grafting is a safe, minimally invasive, and effective approach to treat plantar heel pain.

摘要

方法

本项回顾性研究纳入了2019年1月至2020年6月期间经历足底足跟疼痛并接受足底足跟SVF凝胶移植的14例患者。在筛查就诊时以及3个月、6个月和12个月的随访就诊时测量足部疼痛和功能障碍情况。通过磁共振成像测量足跟脂肪垫的体积。

结果

4例患者为双侧足底足跟疼痛,10例患者为单侧足底足跟疼痛。与基线相比,所有患者在SVF凝胶移植后3个月时疼痛和足部功能均有显著改善,6个月时改善最为明显,且效果持续1年或更长时间。此外,足跟脂肪垫厚度在3个月时显著大于基线水平,且效果持续1年或更长时间。

结论

基质血管成分凝胶移植是一种治疗足底足跟疼痛的安全、微创且有效的方法。

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