Ilizarov技术胫骨横向骨搬移术治疗糖尿病足

发布时间：2018-06-15 05:25

本文选题：Ilizarov技术 + 胫骨横向骨搬移术　；参考：《中国矫形外科杂志》2017年04期

【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。
[Abstract]:[objective] to investigate the clinical effect of Ilizarov technique in the treatment of diabetic foot. [methods] from August 2014 to March 2016, 40 patients with diabetic foot were treated with Ilizarov technique, 26 males and 14 females, with an average age of 56.8, 22 left and 18 right. According to Wagner's classification, 10 cases with grade 2 and 22 cases with grade 3 were classified as grade 4 and 8 cases. [results] all the 40 patients were followed up for 4 ~ 19 months with an average of 11.5 months. All the affected feet were healed. The average healing time of the wounds was 12.6 weeks. The symptoms of pain and numbness of the affected limbs were improved or even disappeared. Conclusion Transverse bone transfer of tibia can effectively treat diabetic foot and avoid amputation.
【作者单位】：广西医科大学第一附属医院骨关节科;国家康复辅具研究中心附属康复医院矫形外科;广西医科大学第一附属医院内分泌科;广西医科大学基础医学院;广西医科大学再生医学中心;
【基金】：广西壮族自治区自然科学基金项目(编号:2014GXNSFAA118229)
【分类号】：R687.3;R587.2

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