胫骨横向骨搬移技术治疗下肢慢性缺血性疾病的研究进展  

Research progress of tibial transverse transport in treatment of chronic ischemic diseases of the lower extremities

作　　者：刘铮 许超 俞益康 涂冬鹏 LIU Zheng;XU Chao;YU Yikang;TU Dongpeng(The Second Clinical College of Zhejiang Traditional Chinese Medical University,Hangzhou Zhejiang,310053,P.R.China;Department of Traumatology and Orthopedics,the Second Affiliated Hospital of Zhejiang Traditional Chinese Medical University,Hangzhou Zhejiang,310005,P.R.China)

机构地区：[1]浙江中医药大学第二临床医学院,杭州310053 [2]浙江中医药大学附属第二医院骨伤科,杭州310005

出　　处：《中国修复重建外科杂志》2020年第8期994-999,共6页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：浙江省“十三五”中医药重点专科建设项目(外科-运动创伤科)。

摘　　要：目的对胫骨横向骨搬移技术治疗下肢慢性缺血性疾病的研究进展进行综述。方法广泛查阅近年来国内外相关文献,对胫骨横向骨搬移技术的作用机制、临床治疗方法、临床疗效以及适应证、禁忌证、并发症进行总结分析。结果基于张力-应力法则的胫骨横向骨搬移技术是治疗下肢慢性缺血性疾病的新手段,能够改善缺血症状,促进创面愈合,提升保肢率,近年临床应用显示出较好疗效,且适用范围正在扩大。结论由于目前临床应用范围有限,胫骨横向骨搬移技术治疗下肢慢性缺血性疾病研究的样本量均较小,随访时间有限,其有效性、远期疗效以及骨搬移标准等需要进一步研究。Objective To summarize the research progress of tibial transverse transport(TTT)in treatment of chronic ischemic diseases of the lower extremities.Methods The related literature was systematically searched and the mechanisms,clinical treatment methods,clinical efficacy,indications,contraindications,and complications of TTT were discussed.Results Based on the law of tension-stress,TTT is a new method in the treatment of chronic ischemic diseases of the lower extremities.It can relieve the ischemic symptoms,promote the wound healing,and increase the limb salvage rate.The clinical application in recent years has shown good effectiveness,and the scope of application is expanding.Conclusion Due to the current limited clinical application,the sample size of the TTT for the chronic ischemic diseases of the lower extremities is relatively small,and the follow-up time is limited.So its validity,long-term effectiveness,and bone transport standards are need further research.

关 键 词：胫骨横向骨搬移技术 ILIZAROV技术 下肢 缺血性疾病 张力-应力法则 

分 类 号：R658.3[医药卫生—外科学]