改良胫骨横向骨搬运术治疗Wagner3、4期糖尿病足临床效果观察
CLINICAL Effect of Modified Transverse Tibial Bone Transport on Wagner Stage 3 and 4 Diabetic Foot
梁华杰 1杨秀环 1魏人前 1林沛桃 1李翱翔 1莫世赞1
作者信息
- 1. 清远市人民医院骨科,广东 清远 511500
- 折叠
摘要
目的:探讨改良胫骨横向骨搬运术治疗Wagner 3、4期糖尿病足的临床效果.方法:选取 2015年 1月—2022年 9 月我院接诊的 40例糖尿病足患者为研究对象.根据随机数字表法将其分为试验组和对照组,各 20例.对照组采用常规治疗,试验组采用改良胫骨横向骨搬运术治疗.比较 2组患者治疗前、治疗后 1、2周疼痛视觉模拟(VAS)评分、溃疡面积、足部皮温、踝肱指数(ABI)及患肢胫后动脉血流速度的变化情况.结果:治疗后 1、2周,试验组VAS评分均低于对照组,患肢胫后动脉血流速度均慢于对照组,溃疡面积均小于对照组,足部皮温及ABI均高于对照组,组间差异有统计学意义(P<0.05).结论:改良胫骨横向骨搬运术治疗Wagner 3、4期糖尿病足效果显著,能够改善患者下肢功能,促进溃疡愈合,可作为优选治疗方式.
Abstract
Objective:To investigate the clinical effect of modified transverse tibial bone transport in the treatment of Wagner 3 and 4 diabetic feet.Methods:40 patients with diabetic foot admitted to our hospital from January 2015 to September 2022 were selected as the study objects.According to random number table method,they were divided into an experimental group and a control group,20 cases each.The control group was treated with conventional treatment,and the experimental group was treated with modified transverse tibial bone transport.Pain Visual Analogue Scale(VAS),ulcer area,foot skin temperature,anklebrachial index(ABI)and posterior tibial artery flow velocity were compared between 2 groups before treatment and 1 and 2 weeks after treatment.Results:1 and 2 weeks after treatment,VAS score were lower than those in the control group,posterior tibial artery blood velocity of the affected limbs in experimental groups were slower than those in control group,ulcer area was lower than that in control group,foot skin temperature and ABI were higher than those in control group,with statistical significance between the groups(P<0.05).Conclusion:Modified transverse tibial bone transport is effective in the treatment of Wagner stage 3 and 4 diabetic foot,which can improve lower limb function and promote ulcer healing,and can be used as a preferred treatment.
关键词
糖尿病足/Wagner3、4期/改良胫骨横向骨搬运术/下肢功能Key words
Diabetic foot/Wagner 3 and 4/Improved transverse tibial bone transport/Lower limb function引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据