游离皮瓣在糖尿病足溃疡修复中的应用研究进展  

Research advances on the application of free flaps in repairing diabetic foot ulcers

作　　者：简扬 魏在荣 陈伟 张演基 唐铭远 钟云雪 刘陈肖笑 Jian Yang;Wei Zairong;Chen Wei;Zhang Yanji;Tang Mingyuan;Zhong Yunxue;Liu Chenxiaoxiao(Department of Burns and Plastic Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi 563003,China)

机构地区：[1]遵义医科大学附属医院烧伤整形外科,遵义563003

出　　处：《中华烧伤与创面修复杂志》2023年第4期376-380,共5页Chinese Journal of Burns And Wounds

基　　金：省部共建协同创新中心项目(教科技厅函〔2020〕39号);贵州省科技计划项目(黔科合平台人才[2020]5012);遵义市科技计划项目(遵市科人平台〔2021〕3号)。

摘　　要：游离皮瓣已被成功用于糖尿病足溃疡(DFU)的修复,可降低截肢率,维持患者正常步态,提高患者生活质量。然而,采用游离皮瓣修复DFU仍面临许多挑战,有很多亟待解决的问题。该文总结了游离皮瓣修复DFU的患者选择、术前注意事项、皮瓣类型、血管吻合方式、临床效果及存在的问题。Free flaps have been successfully used in the repair of diabetic foot ulcers(DFUs),which can reduce amputation rate,maintain normal gait of patients,and improve life quality of patients.However,there are still many challenges in the repair of DFUs with free flaps,and many problems need to be solved.This paper summarizes the selection of patients,preoperative cautions,types of flaps,methods of vascular anastomosis,clinical effects,and existing problems in using free skin flaps for repairing DFUs.

关 键 词：糖尿病足 溃疡 截肢术 游离皮瓣 血糖控制 

分 类 号：R658.3[医药卫生—外科学]