糖尿病足的外科治疗（附37例报告）  

作　　者：黄文卫[1] 程立冬 牛洪泉[2] 栾夏刚[1] 王维[1] 

机构地区：[1]武汉大学医学院附属武汉市第三人民医院烧伤科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院神经外科,湖北武汉430030

出　　处：《世界中医药》2016年第B03期1496-1497,共2页World Chinese Medicine

摘　　要：目的探讨糖尿病足的发生机制，临床特点，外科治疗方法。方法：回顾分析37例糖尿病足患者的临床资料，在全身综合治疗的基础上，14例行局部清创加负压封闭治疗术，1 7例行清创＋自体皮移植（皮耐克移植后自体皮移植）或皮瓣转移修复，6例行扩大清创术加截趾及负压封闭治疗。结果：术后随访2个月到1年，所有患者足部感染控制，溃疡愈合，功能无明显影响，生活质量明显改善。结论：早期外科干预，根据患者的综合情况选择个体化的外科方案，同时注重全身的综合治疗，能更好的提高治疗效果，保存患者的肢体功能，改善患者的生活质量。Objective To investigate the pathogenesis, clinical characteristics and surgical treatment of diabetic foot. Methods： a retrospectiveanalysis of the clinical data of 37 patients with diabetic foot patients, on the basis of systemic comprehensive treatment, !4 cases underwentlocal Qing Gen and Vacuum sealing treatment, debridement and auto skin grafting （Nike skin transplantation auto｜ogous skin graft or flaptransfer to repair 17 cases of clear, 6 cases of expanding the Qing debridement and toe amputation and negative pressure closed treatment.Results： the patients were followed up for 2 months to 1 years. All the patients had control of foot infection, ulcer healing rm significant effecton the function, and the quality of life was improved significantly. Conclusion： early surgical intervention, according to the overall situation ofthe patients choice individualized surgical plan, at the same time pay attention to the systemic comprehensive treatment, improve the treatmenteffect, preservation of limb function, improve the quality of life of patients.

关 键 词：糖尿病足 发病机制 临床特点 外科治疗 

分 类 号：R587.1[医药卫生—内分泌]