彩色多普勒超声评价胫骨横向骨搬移术治疗老年糖尿病足的临床疗效

发布时间：2018-06-15 19:33

本文选题：彩色多普勒超声 + 胫骨横向骨搬移术　；参考：《中国老年学杂志》2017年11期

【摘要】：目的利用彩色多普勒超声对胫骨横向骨搬移术治疗老年糖尿病足(DF)的临床应用进行评价。方法老年DF患者38例,行胫骨横向骨搬移术治疗,采用彩色多普勒超声对手术前后老年患足的下肢动脉管壁、管腔及血流动力学改变进行评价。结果经胫骨横向骨搬移术治疗后,老年患者下肢动脉管径彩超斑块率、狭窄率、闭塞率均较手术前下降,但只有狭窄率手术前后的差异有统计学意义(P0.05);手术后,患者的两侧股总动脉、乆动脉、胫后动脉和足背动脉的管腔内径均明显增大(均P0.05);两侧股总动脉、乆动脉、胫后动脉和足背动脉的血流平均速度均明显减慢(均P0.05);两侧股总动脉、乆动脉、胫后动脉和足背动脉的血流量均明显增加(均P0.05)。结论彩色多普勒超声检测能客观反映胫骨横向骨搬移术后老年DF患者的血管病变程度,无创伤、简便易行、便于老年人接受,有助于对胫骨横向骨搬移术的临床效果提供血流动力学的依据。
[Abstract]:Objective to evaluate the application of color Doppler ultrasound in the treatment of senile diabetic foot disease (DFF). Methods 38 cases of senile DF were treated with transversal bone transfer of tibia. The changes of arterial wall, lumen and hemodynamics of lower extremity were evaluated by color Doppler ultrasound before and after operation. Results the plaque rate, stenosis rate and occlusion rate of lower extremity artery diameter in elderly patients were decreased after lateral tibial bone transfer, but only the difference before and after operation was statistically significant (P 0.05). The lumen diameters of the common femoral artery, the posterior tibial artery and the dorsal foot artery were significantly increased (all P 0.05). The mean blood flow velocity of posterior tibial artery and dorsalis pedis artery was significantly slower (all P 0.05), and the blood flow of bilateral common femoral artery, body and female artery, posterior tibial artery and dorsal foot artery were significantly increased (all P 0.05). Conclusion Color Doppler ultrasound can objectively reflect the degree of vascular lesion in elderly patients with DF after tibial lateral bone transplantation. It is simple and easy for the elderly to accept. It is helpful to provide hemodynamic basis for the clinical effect of lateral tibial bone transfer.
【作者单位】：柳州市工人医院手足外科;
【分类号】：R445.1;R587.2

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