Ilizarov横向骨搬移术治疗Wagner 3～4级糖尿病足疗效观察

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Abstract Objective To discuss the effect of Ilizarov transverse tibial bone transporting in the treatment of diabetic foot with Wagner 3～4.Methods 24 patients with Wagner 3～4 diabetic foot were collected between June 2015 to February 2018.The patients were all treated with The Ilizarov transverse tibial bone transporting.They were 17 men and 7 women，aged from 41 to 76 years (average，58.4 years)，including 9 cases on the right and 15 cases on the left side.5 cases were Wagner 3～4.The wound healing was observed after operation.We measured skin temperature of affected limbs and the ankle-brachial index，got the visual analogue pain scores and examined the maximum systolic blood flow velocity of the posterior tibial artery with color Doppler ultrasound before and after operation.Results The cases were followed up for 16.5months (range：9 to 32 months ).All the affected feet were salvaged and healed.The temperature of affected foot skin after operation was (34.21±1.32)℃，compared with preoperative (31.34±2.02)℃，the difference was statistically significant (P＜0.01).The postoperative VAS score (0.46±1.13) was compared with the preoperative (4.41±3.02)points，and the difference was statistically significant (P＜0.01).The postoperative ankle index was (0.91±0.18)，which was statistically significant compared with that preoperative (0.53±0.23) (P＜0.01).The maximum systolic blood flow velocity of posterior tibial artery examined by color Doppler ultrasonography after operation was (37.12±4.21)cm/s，which was statistically significant compared with preoperative (28.84±3.27)cm/s(P＜0.01).Conclusion The Ilizarov transverse tibial bone transporting is a effective method to treat diabetic foot with Wagner 3~4.The operation is simple and the effect of improving circulation and limb salvage is good.

Key words： Ilizarov transverse tibial bone transportation diabetic foot limb salvage

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［1］Xu Z，Ran X.Diabetic foot care in China：challenges and strategy［J］.Lancel Diabetes Endocrinol，2016，4(4)：297-298.
［2］Jiang Y，Wang X，Xia L，et al.A cohort study of diabetic patients and diabetic foot ulceration patients in china［J］.Woud Repair Regen，2015，23(2)：222-230.
［3］Frykberg RG，Zgonis T，Armstrong DG，et al.Diabetic foot disorders：a clinical practice guideline(2006 revision)［J］.J Foot Ankle Surg，2006，45(5)：S1-S66.
［4］中国医疗保健国际交流促进会糖尿病足病分会.中国糖尿病足诊治指南［J］.中华医学杂志，2017，97(4)：251-258.
［5］冉兴无，郑月宏.加强多学科协作，提高糖尿病缺血性足溃疡的治愈率［J］.中华糖尿病杂志，2016，8(7)：385-387.
［6］PopBusui R，Boulton AJM，Feldman EL，et al.Diabetic neuropathy：a position statement by the american diabetes association［J］.Diabetes Care，2017，40(1)：136-154.
［7］Hinchiffe RJ，Brownrigg JRW，Andros G，et al.Effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral artery disease：a systematic review［J］.Diadetes Metab Res Rev，2016，32( Suppl 1)：136-144.
［8］高伟，林震迅，镇普祥.胫骨横向骨搬移后巨噬细胞促进重度糖尿病足创面的愈合［J］.中国组织工程研究，2018，22(36)：77-81.
［9］Feruson JY，Sutherland M，Pandit HG，et al.The rate of symptomatic venous thromboemblism in patients undergoing elective Ilizarov surgery and the cost of chemical prophylaxis［J］.Bone Joint J，2014，96(3)：426-430.
［10］李华龙，孔圳，孙永建.Ilizarov技术微创治疗儿童僵硬型马蹄内翻足［J］.实用骨科杂志，2014，20(7)：610-614.
［11］庄乾宇，翁习生，秦泗河.Ilizarov技术基础及临床应用研究进展［J］.中华骨科杂志，2012，32(3)：277-282.
［12］Murray PJ，Allen JE，Biswas SK，et al.Macrophage activation and polarization：nomenclature and experimental guidelines［J］.Immunity，2014，41(1)：14-20.
［13］Mulder R，Banete A，Basa S.Spleen-derived macrophages are readily polarized into classically actived(M1) or alternatively activated (M2) states［J］.Immunobiology，2014，219(10)：737-745.