摘要
目的总结胫骨横向骨搬移技术治疗糖尿病足的研究进展。方法回顾近年国内外有关胫骨横向骨搬移技术治疗糖尿病足的研究文献,总结该技术的优缺点及注意事项。结果胫骨横向骨搬移技术是在Ilizarov技术基础上的创新,目前其治疗糖尿病足处于初始阶段,已取得较好疗效,但也存在溃疡复发、再骨折等问题。此外,该技术促进组织再生的生物学机制、临床技术要点(如手术切口及骨窗大小、骨搬移方案等)、术后疗效仍存在争议,还需更多临床研究与实践,以制定一个标准治疗方案。结论胫骨横向骨搬移技术为下肢微循环重建热点技术,为糖尿病足保肢治疗提供了新方向,但该技术尚不成熟,仍存在许多争议和难点,有待进一步研究明确。
Objective To summarize the research progress of tibial transverse transport in the treatment of diabetic foot.Methods The domestic and foreign literature on the tibial transverse transport for diabetic foot in recent years was summarized,and the advantages and disadvantages of the technique were analyzed.Results The tibial transverse transport was an innovation based on Ilizarov technique.At present,the treatment of diabetic foot by the tibial transverse transport is in the initial stage and has achieved good results,but there are also problems such as ulcer recurrence and re-fracture.And its biological mechanism to promote tissue regeneration,clinical technical points(such as the selection of incision and bone window size),the technical parameters of postoperative removal program,and the postoperative effectiveness are still in dispute and exploration.More clinical studies and practices are needed in the future to develop a standard protocol for this technique.Conclusion Tibial transverse transport is a hot spot for microcirculation reconstruction of lower extremity.Significant progress has been made in the treatment of diabetic foot,which provides a new direction for limb salvage treatment.However,the technique is not mature,there are still many disputes and difficulties to be further studied clearly.
作者
赵晓明
刘亮
袁启令
时亚明
张银刚
ZHAO Xiaoming;LIU Liang;YUAN Qiling;SHI Yaming;ZHANG Yingang(Department of Orthopaedics,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an Shaanxi,710061,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2020年第8期969-973,共5页
Chinese Journal of Reparative and Reconstructive Surgery
基金
国家自然科学基金资助项目(81371987)
西安交通大学临床研究特殊专项资助课题(XJTU1AF-CRF-2016T-15)。
