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JBJS：急性跟腱断裂的手术治疗和保守治疗效果分析比较（全新循证医学证据）

2012-08-14 紫川秀第二 丁香园

急性跟腱断裂手术干预治疗保守治疗循证医学
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年轻的活动较多的人群中跟腱断裂发生的概率较高，在高强度运动员中尤其如此，近期在英国伦敦举行的田径110米兰的比赛上，04年雅典奥运会创造历史的中国飞人刘翔在预赛时即遭遇了跟腱断裂。目前骨科医生关于跟腱断裂治疗的选择尚没有形成统一的认识，大体上来说，目前主要存在两种主流治疗方法：手术治疗和保守治疗。为了进一步明确急性跟腱断裂手术治疗和保守治疗两者效果的差别，来自澳大利亚西澳大学的选择近期就该问题进行

年轻的活动较多的人群中跟腱断裂发生的概率较高，在高强度运动员中尤其如此，近期在英国伦敦举行的田径110米兰的比赛上，04年雅典奥运会创造历史的中国飞人刘翔在预赛时即遭遇了跟腱断裂。目前骨科医生关于跟腱断裂治疗的选择尚没有形成统一的认识，大体上来说，目前主要存在两种主流治疗方法：手术治疗和保守治疗。为了进一步明确急性跟腱断裂手术治疗和保守治疗两者效果的差别，来自澳大利亚西澳大学的选择近期就该问题进行了Meta分析研究，相关结论发表在近期的JBJS美国版上。 研究者收集急性跟腱断裂的研究论文，数据来源Cochrane，Pubmed，EMBASE，Cinahl，共检索到39篇文献，其中14篇符合研究纳入标准，有8篇文献为多中心研究。研究共包括1085个病人，但能获取研究需要数据的只有1035个病人。病人年龄分布36-41岁。 手术治疗组和保守治疗组 共8篇文献，730例病人进行了手术治疗和保守治疗的比较。 再断裂率（rerupture）：总体分析，手术治疗组4.4%（16/361）VS 保守治疗组10.6%（39/369），p=0.002（图1）；其中有两个研究比较了手术后石膏固定和保守治疗

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    2013-07-03 yinhl1978

    #效果分析#

    0

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    2012-11-29 12498cf9m35(暂无昵称)

    #跟腱断裂#

    0

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    2012-08-20 jxrzshh

    #治疗效果#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1910957, encodeId=3b43191095ef3, content=<a href='/topic/show?id=e6045e517dd' target=_blank style='color:#2F92EE;'>#效果分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57517, encryptionId=e6045e517dd, topicName=效果分析)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Wed Jul 03 19:51:00 CST 2013, time=2013-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1985626, encodeId=b5f419856261c, content=<a href='/topic/show?id=48ef9305e14' target=_blank style='color:#2F92EE;'>#跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93057, encryptionId=48ef9305e14, topicName=跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d47b2500175, createdName=12498cf9m35(暂无昵称), createdTime=Thu Nov 29 10:51:00 CST 2012, time=2012-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1893858, encodeId=ad451893858df, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Mon Aug 20 14:51:00 CST 2012, time=2012-08-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2078597, encodeId=d51620e859705, content=<a href='/topic/show?id=c7ac5244691' target=_blank style='color:#2F92EE;'>#急性跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52446, encryptionId=c7ac5244691, topicName=急性跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Apr 23 14:51:00 CST 2013, time=2013-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290519, encodeId=1c7a129051927, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1379430, encodeId=e4dc13e94305a, content=<a href='/topic/show?id=4f12504e147' target=_blank style='color:#2F92EE;'>#循证医学#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50471, encryptionId=4f12504e147, topicName=循证医学)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49cf452, createdName=xsm918, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449642, encodeId=427c144964248, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508884, encodeId=33c71508884e8, content=<a href='/topic/show?id=8e1e2e181f4' target=_blank style='color:#2F92EE;'>#保守治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27181, encryptionId=8e1e2e181f4, topicName=保守治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d9d710016703, createdName=cmsvly, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1598816, encodeId=e3881598816fa, content=<a href='/topic/show?id=0b8e102617c' target=_blank style='color:#2F92EE;'>#JBJS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10261, encryptionId=0b8e102617c, topicName=JBJS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ef5818636905, createdName=qingrejiedu, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=)]
    2013-04-23 般若傻瓜

    #急性跟腱断裂#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1910957, encodeId=3b43191095ef3, content=<a href='/topic/show?id=e6045e517dd' target=_blank style='color:#2F92EE;'>#效果分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57517, encryptionId=e6045e517dd, topicName=效果分析)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Wed Jul 03 19:51:00 CST 2013, time=2013-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1985626, encodeId=b5f419856261c, content=<a href='/topic/show?id=48ef9305e14' target=_blank style='color:#2F92EE;'>#跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93057, encryptionId=48ef9305e14, topicName=跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d47b2500175, createdName=12498cf9m35(暂无昵称), createdTime=Thu Nov 29 10:51:00 CST 2012, time=2012-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1893858, encodeId=ad451893858df, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Mon Aug 20 14:51:00 CST 2012, time=2012-08-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2078597, encodeId=d51620e859705, content=<a href='/topic/show?id=c7ac5244691' target=_blank style='color:#2F92EE;'>#急性跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52446, encryptionId=c7ac5244691, topicName=急性跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Apr 23 14:51:00 CST 2013, time=2013-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290519, encodeId=1c7a129051927, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1379430, encodeId=e4dc13e94305a, content=<a href='/topic/show?id=4f12504e147' target=_blank style='color:#2F92EE;'>#循证医学#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50471, encryptionId=4f12504e147, topicName=循证医学)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49cf452, createdName=xsm918, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449642, encodeId=427c144964248, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508884, encodeId=33c71508884e8, content=<a href='/topic/show?id=8e1e2e181f4' target=_blank style='color:#2F92EE;'>#保守治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27181, encryptionId=8e1e2e181f4, topicName=保守治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d9d710016703, createdName=cmsvly, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1598816, encodeId=e3881598816fa, content=<a href='/topic/show?id=0b8e102617c' target=_blank style='color:#2F92EE;'>#JBJS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10261, encryptionId=0b8e102617c, topicName=JBJS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ef5818636905, createdName=qingrejiedu, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=)]
    2012-08-16 lixiaol

    #手术治疗#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1910957, encodeId=3b43191095ef3, content=<a href='/topic/show?id=e6045e517dd' target=_blank style='color:#2F92EE;'>#效果分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57517, encryptionId=e6045e517dd, topicName=效果分析)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Wed Jul 03 19:51:00 CST 2013, time=2013-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1985626, encodeId=b5f419856261c, content=<a href='/topic/show?id=48ef9305e14' target=_blank style='color:#2F92EE;'>#跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93057, encryptionId=48ef9305e14, topicName=跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d47b2500175, createdName=12498cf9m35(暂无昵称), createdTime=Thu Nov 29 10:51:00 CST 2012, time=2012-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1893858, encodeId=ad451893858df, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Mon Aug 20 14:51:00 CST 2012, time=2012-08-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2078597, encodeId=d51620e859705, content=<a href='/topic/show?id=c7ac5244691' target=_blank style='color:#2F92EE;'>#急性跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52446, encryptionId=c7ac5244691, topicName=急性跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Apr 23 14:51:00 CST 2013, time=2013-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290519, encodeId=1c7a129051927, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1379430, encodeId=e4dc13e94305a, content=<a href='/topic/show?id=4f12504e147' target=_blank style='color:#2F92EE;'>#循证医学#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50471, encryptionId=4f12504e147, topicName=循证医学)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49cf452, createdName=xsm918, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449642, encodeId=427c144964248, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508884, encodeId=33c71508884e8, content=<a href='/topic/show?id=8e1e2e181f4' target=_blank style='color:#2F92EE;'>#保守治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27181, encryptionId=8e1e2e181f4, topicName=保守治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d9d710016703, createdName=cmsvly, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1598816, encodeId=e3881598816fa, content=<a href='/topic/show?id=0b8e102617c' target=_blank style='color:#2F92EE;'>#JBJS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10261, encryptionId=0b8e102617c, topicName=JBJS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ef5818636905, createdName=qingrejiedu, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=)]
    2012-08-16 xsm918

    #循证医学#

    0

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    2012-08-16 xjy04

    #循证#

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1910957, encodeId=3b43191095ef3, content=<a href='/topic/show?id=e6045e517dd' target=_blank style='color:#2F92EE;'>#效果分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57517, encryptionId=e6045e517dd, topicName=效果分析)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Wed Jul 03 19:51:00 CST 2013, time=2013-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1985626, encodeId=b5f419856261c, content=<a href='/topic/show?id=48ef9305e14' target=_blank style='color:#2F92EE;'>#跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93057, encryptionId=48ef9305e14, topicName=跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d47b2500175, createdName=12498cf9m35(暂无昵称), createdTime=Thu Nov 29 10:51:00 CST 2012, time=2012-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1893858, encodeId=ad451893858df, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Mon Aug 20 14:51:00 CST 2012, time=2012-08-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2078597, encodeId=d51620e859705, content=<a href='/topic/show?id=c7ac5244691' target=_blank style='color:#2F92EE;'>#急性跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52446, encryptionId=c7ac5244691, topicName=急性跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Apr 23 14:51:00 CST 2013, time=2013-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290519, encodeId=1c7a129051927, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1379430, encodeId=e4dc13e94305a, content=<a href='/topic/show?id=4f12504e147' target=_blank style='color:#2F92EE;'>#循证医学#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50471, encryptionId=4f12504e147, topicName=循证医学)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49cf452, createdName=xsm918, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449642, encodeId=427c144964248, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508884, encodeId=33c71508884e8, content=<a href='/topic/show?id=8e1e2e181f4' target=_blank style='color:#2F92EE;'>#保守治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27181, encryptionId=8e1e2e181f4, topicName=保守治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d9d710016703, createdName=cmsvly, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1598816, encodeId=e3881598816fa, content=<a href='/topic/show?id=0b8e102617c' target=_blank style='color:#2F92EE;'>#JBJS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10261, encryptionId=0b8e102617c, topicName=JBJS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ef5818636905, createdName=qingrejiedu, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=)]
    2012-08-16 cmsvly

    #保守治疗#

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1910957, encodeId=3b43191095ef3, content=<a href='/topic/show?id=e6045e517dd' target=_blank style='color:#2F92EE;'>#效果分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57517, encryptionId=e6045e517dd, topicName=效果分析)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Wed Jul 03 19:51:00 CST 2013, time=2013-07-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1985626, encodeId=b5f419856261c, content=<a href='/topic/show?id=48ef9305e14' target=_blank style='color:#2F92EE;'>#跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93057, encryptionId=48ef9305e14, topicName=跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d47b2500175, createdName=12498cf9m35(暂无昵称), createdTime=Thu Nov 29 10:51:00 CST 2012, time=2012-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1893858, encodeId=ad451893858df, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64637, encryptionId=5e456463eee, topicName=治疗效果)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=373a131, createdName=jxrzshh, createdTime=Mon Aug 20 14:51:00 CST 2012, time=2012-08-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2078597, encodeId=d51620e859705, content=<a href='/topic/show?id=c7ac5244691' target=_blank style='color:#2F92EE;'>#急性跟腱断裂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52446, encryptionId=c7ac5244691, topicName=急性跟腱断裂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Apr 23 14:51:00 CST 2013, time=2013-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290519, encodeId=1c7a129051927, content=<a href='/topic/show?id=e86454454ea' target=_blank style='color:#2F92EE;'>#手术治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54454, encryptionId=e86454454ea, topicName=手术治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=920c231, createdName=lixiaol, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1379430, encodeId=e4dc13e94305a, content=<a href='/topic/show?id=4f12504e147' target=_blank style='color:#2F92EE;'>#循证医学#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50471, encryptionId=4f12504e147, topicName=循证医学)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49cf452, createdName=xsm918, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449642, encodeId=427c144964248, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1508884, encodeId=33c71508884e8, content=<a href='/topic/show?id=8e1e2e181f4' target=_blank style='color:#2F92EE;'>#保守治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27181, encryptionId=8e1e2e181f4, topicName=保守治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d9d710016703, createdName=cmsvly, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1598816, encodeId=e3881598816fa, content=<a href='/topic/show?id=0b8e102617c' target=_blank style='color:#2F92EE;'>#JBJS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10261, encryptionId=0b8e102617c, topicName=JBJS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ef5818636905, createdName=qingrejiedu, createdTime=Thu Aug 16 04:51:00 CST 2012, time=2012-08-16, status=1, ipAttribution=)]
    2012-08-16 qingrejiedu

    #JBJS#

    0