科勒病的保守治疗需要几个月的时间，但是有些病人仍然有扁平足和持续疼痛。2013年10月至2015年7月,3例科勒氏病患者在我院行舟骨减压及微循环重建手术。所有患者均接受保守治疗3个月以上,效果较差。X线片显示舟骨骨密度明显增加。所有患者均随访1年以上。3名患者恢复良好。术后1个月VAS评分由7.0降至2.6。术后3个月疼痛症状完全消失。舟骨骨密度恢复正常。舟骨减压和微循环重建手术可以迅速改善舟骨的缺血状态，减轻疼痛症状，使患者尽快恢复正常活动。
The conservative treatment for Kohler\'s disease will take several months, but some patients still have flatfoot and persistent pain. From October 2013 to July 2015, 3 children with Kohler\'s disease underwent navicular decompression and micro-circulation reconstruction surgery in our hospital. All the patients have received conservative treatment for more than 3 months and the effect was poor. X-ray showed the bone density of navicular increased significantly. All patients were followed up over 1 year. The 3 patients recovered well. VAS score decreased from 7.0 to 2.6 at 1 month after the operation. The pain symptom disappeared completely on 3 months after surgery. The density of navicular bone recovered to normal. Navicular decompression and micro-circulation reconstruction surgery may quickly improve the ischemic status of navicular bone, alleviate pain symptom and enable patients to resume normal activity as soon as possible.
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