摘要
2000年,我国曲龙医师首次成功采用胫骨横向骨搬移(tibial transverse transport,TTT)技术治疗血管闭塞性脉管炎。受此启发,自2013年广西医科大学第一附属医院花奇凯教授团队将该技术用于治疗糖尿病足,至今已累计治疗500余例患者,取得良好疗效,保肢率达96.1%。在此期间,团队对TTT技术进行了一系列改良,总结了糖尿病足TTT技术综合分型法及对应治疗方案;通过影像学、组织学以及基础研究,初步探讨了TTT技术治疗糖尿病足的作用机制。现对团队治疗经验及研究成果进行回顾性总结分析,以期为该技术在临床的广泛应用提供参考。
Tibial transverse transport(TTT)was firstly applied to treat thromboangiitis obliterans successfully by Professor QU Long in China in 2000.Based on this,the team of Professor HUA Qikai in the First Affiliated Hospital of Guangxi Medical University applied this technique to treat diabetic foot since 2013,and until now,more than 500 patients underwent this treatment with excellent effectiveness including a salvage rate as high as 96.1%.Our team also improved this technique in many aspects,and developed a TTT-based classification system and treatment for diabetic foot.We also explored the underlying mechanism of TTT treatment using imaging,histology,and other basic research methods.To further promote the application of this technique in clinic,we reported the findings from our cases and reviewed our previous findings in this study.
作者
花奇凯
秦泗河
邝晓聪
陈炎
曲龙
赵劲民
HUA Qikai;QIN Sihe;KUANG Xiaocong;CHEN Yan;QU Long;ZHAO Jinmin(Department of Bone and Joint Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning Guangxi,530021,P.R.China;Department of Orthopedics,Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids,Beijing,100176,P.R.China;Department of Physiopathology,Preclinical School of Guangxi Medical University,Nanning Guangxi,530021,P.R.China;Department of Orthopedic Surgery,Aerospace 731 Hospital,Beijing,100000,P.R.China;Center of Regenerative Medicine,Guangxi Medical University,Nanning Guangxi,530021,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959-963,共5页
Chinese Journal of Reparative and Reconstructive Surgery
基金
国家自然科学基金资助项目(81601930)
广西壮族自治区自然科学基金资助项目(2016GXNSFBA380009、2017GXNSFAA198293、2017GXNSFAA198318)
广西壮族自治区医疗卫生重点学科资助项目(S2017032)。
关键词
胫骨横向骨搬移技术
糖尿病足
治疗经验
Tibial transverse transport
diabetic foot
treatment experience
