胫骨横向骨搬移术联合封闭式负压引流技术治疗糖尿病足的临床疗效观察
DOI:
作者:
作者单位:

1.山东中医药大学;2.日照市中医医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Clinical Observation of Tibial Transverse Transport Combined with Negative Pressure Closed Drainage in the Treatment of Diabetic Foot
Author:
Affiliation:

rizhaoshizhongyiyiyuan

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    摘要:[目的]?探讨胫骨横向骨搬移术联合封闭式负压引流技术(VSD)治疗糖尿病足的临床疗效。[方法] 自2017年4月—2019年6月我院收治的45例糖尿病足患者,根据治疗方式进行分组,23例行胫骨横向骨搬移术联合封闭式负压引流技术治疗(VSD组),22例单纯行胫骨横向骨搬移术治疗(对照组);记录两组治疗后患侧肢体的疼痛VAS评分,踝肱指数,患肢足部皮温及患者足部溃疡愈合时间,对比两种方法的临床疗效。[结果] 两组患者手术均顺利完成,术后1个月,3个月两组患者的疼痛VAS评分,踝肱指数及患肢足部皮温均较术前有明显改善,差异有统计学意义(P<0.05);术后3个月两组间比较,疼痛VAS评分差异无统计学意义(P>0.05),VSD组的踝肱指数,患肢足部皮温较对照组改善明显,差异具有统计学意义。(P<0.05)。VSD组的溃疡创面愈合时间明显较对照组缩短,差异有统计学意义(P<0.05)。[结论] 胫骨横向骨搬移术联合封闭式负压引流技术治疗糖尿病足患者临床疗效满意,VSD负压引流技术能有效减轻患肢疼痛,改善患肢微循环,促进创面肉芽组织生长,加快溃疡创面愈合。

    Abstract:

    Abstract:[Objective] To investigate the clinical effect of tibial transverse transport technique combined with negative pressure closed drainage(VSD)in the treatment of diabetic foot ulcers.[Methods] From April 2017 to June 2019,45 patients with diabetic foot ulcers were divided into groups according to the treatment methods.23 patients underwent tibial transverse transport technique combined with negative pressure closed drainage(VSD group),22 patients were treated only by tibial transverse transport technique(control group).VAS score,ankle brachial index,skin temperature of affected limb,and healing time of ulcer of diabetic foot ulcers were recorded after treatment.[Results] Both groups underwent successful operation,The VAS score,ankle-brachial score,and the skin temperature of the affected limb after operation at 1 and 3 months were significantly improved compared with those before operation,and the difference was statistically significant(P<0.05).By comparison between the two groups after operation at 3 months,the VAS score were compared between the two groups,the difference was not statistically significant(P>0.05).ankle-brachial score and the skin temperature of the affected limb of VSD group improved more significant than control group,the difference was statistically significant(P<0.05),The healing time of ulcer wounds of VSD group were shorter than control group,the difference was statistically significant(P<0.05).[Conclusion] The clinical efficacy of tibial transverse transport technique combined with negative pressure closed drainage in the treatment of diabetic foot ulcers is satisfactory,negative pressure closed drainage can effectively relieve limb pain,improve microcirculation of affected limbs,promote the growth of granulation tissue on wound surface and accelerate the healing of ulcer wounds.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-02-16
  • 最后修改日期:2020-04-30
  • 录用日期:2020-05-28
  • 在线发布日期:
  • 出版日期: