足趾截肢并缝合术治疗糖尿病性足趾溃疡(坏疽)  

Toe Amputation and Suture in the Treatment of Diabetic Toe Ulcer(Gangrene)

作　　者：董雨[1] 王雨[1] 王广宇[1] 徐旭英[1] 

机构地区：[1]首都医科大学附属北京中医医院疮疡血管外科,北京100010

出　　处：《继续医学教育》2017年第4期95-96,共2页Continuing Medical Education

基　　金：北京市卫生系统高层次卫生技术人才(学科骨干)基金资助项(2013-3-080);北京市科委"首都特色"基金资助项(Z161100000516149);北京市科委"十病十药"基金资助项(Z161100001816012);国家自然科学基金资助项(81673975)

摘　　要：糖尿病足是糖尿病患者常见的并发症之一,大多数患者由于溃疡长期不愈、反复感染而被迫接受截肢术,因此致残、劳动力丧失,给社会、家庭带来了沉重的负担。采取最小损伤原则治愈慢性溃疡、保留足部功能、恢复独立行走是临床医生工作的首要目标、当务之急。足趾截肢并缝合术是一种可供选择的术式,它可以缩短创口愈合时间、降低不良事件发生率。笔者在工作中使用该项术式治疗糖尿病性足趾溃疡(坏疽)取得了一定的成效。依据临床经验分别从手术适应证、手术方式、术后并发症方面进行论述。Diabetic foot is one of the most.common complications in diabetes patients. As a result of chronic ulcers and repeated infections, most patients were required to undergo amputation, resulting in disability and loss of work capacity that greatly burdened family and the community. Therefore, the search for a minimally invasive method that heals chronic ulcers, retains foot function and recovers independent walking remains an urgent and primary goal of clinicians. Toe amputation with suture is an optional surgical procedure that shortens wound healing time and reduces the incidence of adverse events. We have obtained satisfactory results from using this technique in treating diabetic toe ulcers （gangrene）. This article will discuss the clinical experiences on this matter in the aspects of surgical indications, surgical methods, and postoperative complications.

关 键 词：糖尿病足 足趾截肢并缝合术 临床经验 

分 类 号：R587.2[医药卫生—内分泌]