التفاصيل البيبلوغرافية
| العنوان: |
Short-term spinal cord stimulation versus debridement for the treatment of diabetic foot: A retrospective cohort study |
| المؤلفون: |
Xing-Chen Yao, Jun-Peng Liu, Zi-Yu Xu, Yue Wu, Fu-Chun Pei, Lin Zhang, Ming Shi, Meng Li, Xin-Ru Du, Hui Zhao |
| المصدر: |
Asian Journal of Surgery, Vol 48, Iss 1, Pp 387-393 (2025) |
| بيانات النشر: |
Elsevier, 2025. |
| سنة النشر: |
2025 |
| المجموعة: |
LCC:Surgery |
| مصطلحات موضوعية: |
Debridement, Diabetic foot, Limb salvage, Spinal cord stimulation, Wound healing, Surgery, RD1-811 |
| الوصف: |
Background: This is the first study to evaluate the efficacy of short-term Spinal Cord Stimulation (st-SCS) versus debridement for treating Diabetic Foot Ulcers (DFU). Methods: We retrospectively analyzed records from DFU patients treated at our hospital. Patients were divided into two groups: 62 received st-SCS with debridement (SCS group), and 43 received only debridement (debridement group). We recorded ulcer area, Ankle-Brachial Index, sleep and life quality indices, foot temperature, and visual analog pain scale, and at 2 and 6 weeks post-operation, monitoring adverse events as well. Compared these indicators between the two groups, and changes in the SCS group were specifically analyzed at different time points. Results: Initially, both groups were comparable (P > 0.05). At 2 weeks postoperatively, the ulcer area reduction rate in the SCS group was higher than debridement group (24.37 % vs 12.77 %, P = 0.025), but this advantage disappeared by 6 weeks (P = 0.110). Compared to baseline, therapeutic indicators in the SCS group showed significant improvement at 2 weeks postoperatively and were significantly better than debridement group (P 0.05). The amputation rate was higher in the debridement group (16.28 % vs 3.23 %, P = 0.036), and there were no significant differences in complications (P=0.132). Conclusion: St-SCS shows significant early benefits over debridement in ulcer healing, pain relief, circulation improvement, and lower amputation rates. However, these benefits did not persist at 6 weeks post-treatment. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
1015-9584 |
| Relation: |
http://www.sciencedirect.com/science/article/pii/S1015958424023753; https://doaj.org/toc/1015-9584 |
| DOI: |
10.1016/j.asjsur.2024.10.065 |
| URL الوصول: |
https://doaj.org/article/f5d0751521ac477f9d163a1a430733f8 |
| رقم الانضمام: |
edsdoj.f5d0751521ac477f9d163a1a430733f8 |
| قاعدة البيانات: |
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