【摘要】 目的 探讨胫骨横向骨搬运术在糖尿病足患者肢体血运重建中的临床疗效。方法 选取2023年1月—2024年12月福建省漳州市医院收治的56例糖尿病足患者，依据采用不同术式分为观察组与对照组，各28例。对照组行传统皮瓣修复术，观察组行胫骨横向骨搬运术。比较两组治疗总有效率、踝肱指数（ankle brachial index, ABI）、经皮氧分压（transcutaneous oxygen pressure, TcPO₂）、足背动脉流速、创面愈合时间及并发症发生率。结果 术后第6周，观察组ABI、TcPO₂、足背动脉流速均优于对照组，创面愈合时间短于对照组，差异均有统计学意义（P均<0.05）。两组患者治疗总有效率和并发症发生率比较，差异均无统计学意义（P均>0.05）。结论 胫骨横向骨搬运术可有效改善糖尿病足患者的下肢血供和局部氧合状态，促进创面愈合。更多还原

【Abstract】 Objective To explore the clinical efficacy of transverse tibial bone transport in limb revascularization in patients with diabetic foot. Methods A total of fifty-six patients with diabetic foot admitted to Zhangzhou Hospital in Fujian Province from January 2023 to December 2024 were selected and divided into the observation group and the control group according to different surgical methods adopted, with 28 cases in each group. The control group underwent traditional flap repair, while the observation group under-went transverse tibial bone transport. The total effective rate of treatment, ankle brachial index（ABI）, transcutaneous oxygen pressure（TcPO₂）, dorsal foot artery flow velocity, wound healing time and incidence of complications were compared between the two groups. Results Six weeks after the operation, the ABI, TcPO₂, dorsal foot artery velocity in the observation group were all better than those in the control group, the wound healing time was shorter than that of the control group, and the differences were statistically significant（all P<0.05）. There was no statistically significant difference in the total effective rate of treatment and the incidence of complications between the two groups of patients（both P>0.05）. Conclusion Transverse tibial bone transport can effectively improve the lower extremity blood supply and local oxygenation status of patients with diabetic foot and promote wound healing.更多还原