胫骨横向骨搬移术治疗血栓闭塞性脉管炎的研究进展

Research progress in the treatment of thromboangiitis obliterans by tibial tubercle transfer

总结国内外胫骨横向骨搬移技术的发展革新以及该技术治疗血栓闭塞性脉管炎的研究进展,为未来血栓闭塞性脉管炎的骨横搬治疗提供参考。查阅关于横向骨搬移治疗血栓闭塞性脉管炎的文献,总结该技术的发展、应用、疗效以及优缺点等。胫骨横向骨搬移技术利用牵引产生的机械刺激促进肢体远端微循环重建,使缺血症状得到改善,提高保肢率,促进创面愈合,近年来临床应用显示了较好的疗效。胫骨横向骨搬移可显著改善肢体远端缺血坏死的问题,但其并发症、作用机制、技术要点等还存在争议。目前临床应用病例较少、应用范围不足,其有效性、远期疗效以及具体手术标准还需要进一步研究。

This paper summarized the development and innovation of tibial tubercle transfer(TTT)at home and abroad and the research progress of this technology in the treatment of thromboangiitis obliterans(TAO),so as to provide references for the future treatment of TAO by TTT.The development,application,efficacy,advantages and disadvantages of TTT in treating TAO were summarized by literature review.TTT has promoted the reconstruction of distal limb microcirculation by traction-induced mechanical stimulation and wound healing,alleviated ischemic symptoms,enhanced limb preservation rate,showing good clinical efficacy in recent years.TTT can significantly alleviate distal limb ischemic necrosis,but its complications,mechanism of action,and technical points are still controversial.At present,the clinical application cases are few and the application scope is insufficient,and its effectiveness,long-term curative effect and specific surgical standards need to be further studied.