胫骨横向骨搬运联合Dellon三联神经松解术治疗糖尿病足的临床疗效分析
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新疆医科大学附属中医医院

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Clinical efficacy of transverse tibial bone transport combined with Dellon triple neurolysis in the treatment of diabetic foot
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Department of Orthopedics, Affiliated Hospital of Taditional Chinese Medicine

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    摘要:

    分析胫骨横向骨搬运技术加Dellon三联神经松解术治疗糖尿病足的临床疗效。方法 收集我院从2017年5月至2018年7月收治的糖尿病足患者21例,所有患者行胫骨横向骨搬运术加Dellon三联神经松解手术治疗。术后通过随访分析疗效。结果 患者均获得随访,随访时间为9-14个月,除1名患者骨搬运过程中骨折再次手术外,余患者均获得了良好的创面愈合效果及保护性感觉,保全了肢体。结论 胫骨横向骨搬运手术合并Dellon三联神经松解术可能通过改善糖尿病足患者足部血运及皮肤感觉,从而促进创面愈合,并最终保肢。

    Abstract:

    Objective: To analyze the clinical effect of transverse tibial bone transport combined with Dellon triple neurolysis in the treatment of diabetic foot. Methods: 21 patients with diabetic foot admitted to our hospital from May 2017 to July 2018 were collected. All patients underwent transverse tibial bone transport and Dellon triple neurolysis. The curative effect was analyzed by follow-up after operation. Results: All the patients were followed up for 9 to 14 months. Except for one patient who underwent reoperation during bone transport, all the patients achieved good wound healing effect and protective sensation, and conserved their limbs. CONCLUSION: Transverse tibial bone transport combined with Dellon triple neurolysis may promote wound healing and ultimately limb salvage by improving foot blood supply and skin sensation in patients with diabetic foot.

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  • 收稿日期:2019-09-10
  • 最后修改日期:2019-09-24
  • 录用日期:2019-11-04
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