胫骨横向骨搬移术治疗150例糖尿病足溃疡的疗效观察

Observation on the effect of transverse tibial bone transport in the treatment of 150 cases of diabetic foot ulcer

目的探讨胫骨横向骨搬移术对糖尿病足溃疡的临床疗效。方法选取2014年1月至2019年12月首都医科大学附属北京朝阳医院和北京市隆福医院收治的150例接受胫骨横向骨搬移术治疗的糖尿病足溃疡患者临床资料。统计创面愈合率,比较术前和术后3个月患者的视觉模拟评分法(VAS)评分、创面面积、踝肱指数(ABI)及创面(W)、缺血(I)、足部感染(Fi)的WIFi分级等。结果术后愈合率为96%(144/150)。150例患者术后3个月WIFi分级优于术前WIFi分级;VAS评分和创面面积低于术前,ABI高于术前,差异均有统计学意义(P<0.05)。结论胫骨横向骨搬移术有助于促进糖尿病足溃疡患者创面愈合。

Objective To investigate the clinical effect of transverse tibial bone transport in the treatment of diabetic foot ulcer.Method A total of 150 patients with diabetic foot ulcers who underwent transverse tibial bone transport in Beijing Chaoyang Hospital,Capital Medical University and Beijing Longfu Hospital from January 2014 to December 2019 were selected,and their clinical data were collected.Item including wound healing rate was recorded and visual analogue scales(VAS)scores,wound area,WIFi classification system(wound,ischemia,and foot infection),and ankle brachial index(ABI)and so on before and three months after operation were compared.Result The postoperative wound healing rate was 96%(144/150).The WIFi classification of 150 patients three months after operation was better than that before operation.After the operation,the VAS score was lower,and the wound area was smaller than those before operation.However,the ABI was higher than those before operation.The differences were statistically significant(P<0.05).Conclusion Transverse tibial bone transport brings excellent help to facilitate wound healing in patients with diabetic foot ulcers.