[1]吴郁锐 郑臣校△ 陈文峰 林昌请.胫骨横向骨搬移技术治疗老年糖尿病足29例[J].中国中医骨伤科杂志,2022,30(02):52-56.
　WU Yurui ZHENG Chenxiao CHEN Wenfeng LIN Changqing.29 Cases of Clinical Study of Ilizarov Lateral Tibial Bone Transfer Technique on the Treatment of Diabetic Foot in the Elderly Patients[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(02):52-56.
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胫骨横向骨搬移技术治疗老年糖尿病足29例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年02期
页码:
52-56
栏目:
临床报道
出版日期:
2022-02-15

文章信息/Info

Title:
29 Cases of Clinical Study of Ilizarov Lateral Tibial Bone Transfer Technique on the Treatment of Diabetic Foot in the Elderly Patients
文章编号:
1005-0205(2022)02-0052-05
作者:
吴郁锐1 郑臣校1△ 陈文峰1 林昌请1
1广东中山市中医院(广东 中山,528401)
Author(s):
WU Yurui1 ZHENG Chenxiao1△ CHEN Wenfeng1 LIN Changqing1
1Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan 528401, Guangdong China.
关键词:
糖尿病足;  老年患者;  横向骨搬移;  胫骨
Keywords:
diabetic foot;  elderly patients;  transverse bone movement;  tibia
分类号:
R687.3
文献标志码:
B
摘要:
目的:探究Ilizarov胫骨横向骨搬移技术治疗老年糖尿病足的临床疗效。方法:回顾性分析2018年1月至2020年12月采用Ilizarov胫骨横向骨搬移技术治疗老年糖尿病足患者的临床资料,进行随访统计和疗效分析,比较术前和术后6个月患者的踝肱指数、密歇根神经体征评分、VAS评分、足背部肤温,并统计创面溃疡愈合率、切口皮肤坏死情况、感染例数、外固定架松动和溃疡复发等情况。结果:总共纳入29例患者,26例患者得到随访,3例失访。在终末随访中23例患者在术后6个月创面溃疡全部愈合,3例患者创面溃疡面积缩小; 全部患者踝肱指数、密歇根神经体征评分、VAS评分、足背部肤温均较手术前明显改善,差异有统计学意义(P<0.05); 治疗期间5例患者发生钉道感染(19.2%),经治疗痊愈; 2例患者外固定架松动(7.6%),再次住院调整外固定架后好转; 无切口皮肤坏死、溃疡复发等情况。结论:Ilizarov胫骨横向骨搬移技术治疗老年糖尿病足临床疗效显著,安全性好,临床并发症较少,值得临床推广应用。
Abstract:
To explore the clinical efficacy of Ilizarov lateral tibial bone transfer technique on the treatment of diabetic foot in the elderly patients. Methods:The clinical data of elderly patients with diabetic foot treated by Ilizarov tibial transverse bone moving technique from January 2018 to December 2020 were retrospectively analyzed. The ankle brachial index, Michigan neurological score, VAS score and skin temperature at the back of foot were compared before and 6 months after operation. Incision skin necrosis, number of infection cases, loosening of external fixator and ulcer recurrence were counted. Results:A total of 29 patients were included in this study, 26 patients were followed up and 3 patients were lost. In the final follow-up, the wound ulcer healed in 23 patients at 6 months after operation, and the wound ulcer area decreased in 3 patients. Ankle brachial index, Michigan nerve sign score, VAS score and foot back skin temperature of all patients were significantly improved than those before operation(P<0.05). During the treatment, 5 patients developed nail canal infection(19.2%), which was cured after treatment; the external fixator was loose in 2 patients(7.6%), and they were hospitalized again to adjust the external fixator for improvement; there were no incision skin necrosis, ulcer recurrence, etc. Conclusion:The Ilizarov tibial transverse bone transfer technique has significant clinical efficacy, good safety and fewer clinical complications in treating of senile diabetic foot, which is worthy of clinical promotion and application.

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备注/Memo

备注/Memo:
基金项目:广东省(中山市)
社会公益科技项目(2019A020430)
△通信作者 E-mail:944614470@qq.com
更新日期/Last Update: 1900-01-01