糖尿病足的创面修复156例  

The treatments of diabetic foot wounds

作　　者：余文林[1] 张斌[1] 李勤[1] 

机构地区：[1]广州军区广州总医院整形外科,510510

出　　处：《实用医学杂志》2017年第3期399-401,共3页The Journal of Practical Medicine

基　　金：广东省科技计划项目(编号:2013B040401013)

摘　　要：目的:探讨糖尿病患者足部溃疡创面修复。方法:总结156例糖尿病足创面,在全面正规的内科治疗的基础上,针对创面特征、血供特点、组织坏死程度,采用分期"蚕食性"清创方法,结合负压吸引、新型敷料、植皮及皮瓣修复治疗。结果:156例中2例死亡,4例失访,余150例痊愈,治疗周期平均56 d。结论:糖尿病足溃疡创面的修复要兼顾全身治疗和局部处理,创面宜分期、渐进性清创,逐步改善创面微环境,创面覆盖宜采用皮片移植,慎用皮瓣转移。Objective The diabetic foot ulcer has high incidence rate, many complications, and is difficult to heal. Methods We summary the treatment experience of 156 cases of diabetic foot wounds. On the basis of comprehensive standard medical treatment, according to the wound characteristics, blood supply, and the degree of tissue necrosis, we performed staging ＂gnawing-away＂ debridement for all the wounds, combining with pressure suction, new dressing, skin grafts and skin flaps. Results Of all the 156 eases, 2 cases died, 4 eases were lost to follow-up, the remaining 150 cases healed, with an average time of 56 days. Conclusions The treat- ment of diabetic foot ulcer must take into account both the systemic therapy and local processing, the wound should be debrided with different stage and progressively. When the wound mieroenvironment is gradually improved, it can be covered appropriately with skin grafts. The skin flap should be chosen cautiously.

关 键 词：糖尿病足 慢性创面 清创 负压吸引 

分 类 号：R587.2[医药卫生—内分泌]