[胫后神经松解术在糖尿病性足底穿通性疾病中的作用]
[Role of neurolysis of the posterior tibial nerve in plantar perforating diseases of diabetic origin].
作者信息
Moutet F, Bellon-Champel P, Guinard D, Gerard P, Marano M
机构信息
Unité de Chirurgie Réparatrice de la Main et des Brûlés, SOS Main Grenoble.
出版信息
Ann Chir Plast Esthet. 1991;36(3):246-8.
PMID:1721784
Abstract
Perforating ulcers of the foot in diabetics constitute a difficult therapeutic problem. In a series of 17 cases, the authors stress the value of tibial nerve neurolysis associated with periarterial sympathectomy which results in cure of the 15 patients treated within 30 days. Although no electromyographic improvement was observed, perfusion studies and oxymetry demonstrated an improved local vascular situation which promoted healing.
摘要
糖尿病患者足部的穿孔性溃疡构成了一个棘手的治疗难题。在一组17例病例中，作者强调了胫神经松解术联合动脉周围交感神经切除术的价值，该方法使15例接受治疗的患者在30天内痊愈。尽管未观察到肌电图改善，但灌注研究和血氧测定显示局部血管状况得到改善，从而促进了愈合。
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