摘要
[目的]探讨应用Ilizarov技术胫骨横向骨搬移术治疗糖尿病足的临床疗效。[方法]2014年8月~2016年3月,采用Ilizarov技术胫骨横向骨搬移术治疗糖尿病足患者40例,男26例,女14例,年龄39~79岁,平均56.8岁;左侧22例,右侧18例,按Wagner分级,2级10例,3级22例,4级8例。[结果]40例患者均获得随访,随访时间4~19个月,平均11.5个月,患足均获得愈合(全部保肢),创面平均愈合时间12.6周,患肢疼痛及麻木症状改善甚至消失。[结论]胫骨横向骨搬移术能有效治疗糖尿病足,避免截肢。
[Objective] To evaluate the clinical outcome of transverse tibial bone transport for treatment of diabetic foot infections. [Methods] From August 2014 to March 2016, 40 patients with diabetic foot infections were treated with transverse tibial bone transport operation, including 26 males and 14 females aged from 39 years to79 years with an average of 56.8 years. Of them, 20 patients were affected on the left limb, and the remaining 18 patients were on the right sides. According to Wagner＇s criteria, 10 patients had Grade II, 22 patients had Grade III, and 8 patients had Grade IV ulcer. [Results] All of the 40 patients were available for follow-up ranged from 4 to 19 months with a mean of 11.5 months. Successful limb salvage and complete healing of the ulcer were achieved in all affected limbs with lesions healing time in a mean of 12.6 weeks. Limb pain and numbness were alleviated or even disappeared. The skin temperature of affected foot was significantly improved from （28.3 ± 0.9）℃ preoperatively to （30.5 ± 1.2） ℃ at 1 year after operation （P〈0.05） . Correspondingly, VAS decreased remarkably from （4.9±0.5） before operation to （0.6±0.1） at 1 year following surgery （P〈0.05） . [Conclusion] Transverse tibial bone transport is an effective way to treat diabetic foot infections and to avoid amputation.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2017年第4期303-307,共5页
Orthopedic Journal of China
基金
广西壮族自治区自然科学基金项目(编号:2014GXNSFAA118229)
