[1]杨焱,刘天宇,项明源,等.Lisfranc损伤的诊治进展[J].中医正骨,2019,31(06):25-28.
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Lisfranc损伤的诊治进展()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年06期
页码:
25-28
栏目:
综 述
出版日期:
2019-06-20

文章信息/Info

作者:
杨焱刘天宇项明源贾兆松
(天津市武清区人民医院,天津 301700)
关键词:
足损伤 Lisfranc损伤 综述
摘要:
Lisfranc损伤是一种严重的中足损伤,近年来其发生率呈上升趋势。但由于解剖结构和损伤机制复杂,依据X线片进行诊断,大约20%的Lisfranc损伤会被漏诊或误诊。因此,对于疑似Lisfranc损伤的患者,依据常规X线片诊断不明确时,应拍摄负重位X线片或进行CT、MRI检查以明确诊断。Lisfranc损伤的治疗包括非手术治疗和手术治疗2大类。手术治疗Lisfranc损伤的方法主要有切开复位内固定术和一期关节融合固定术。Lisfranc损伤常用的内固定方法包括螺钉固定、微型钢板固定、克氏针固定等,但哪种内固定方法才是治疗Lisfranc损伤的最佳方法仍存在相当大的争议。为进一步提高临床医生对Lisfranc损伤的认识,本文从Lisfranc关节的解剖特点和损伤机制、Lisfranc损伤的诊断和分型、Lisfranc损伤的治疗3个方面对近年来Lisfranc损伤的诊治进展进行了综述。

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备注/Memo

备注/Memo:
(收稿日期:2019-03-05 本文编辑:杨雅)
更新日期/Last Update: 1900-01-01