糖尿病足部溃疡外科治疗的临床研究  

CLINICAL STUDY OF SURGICAL TREATMENT FOR DIABETIC FOOT ULCERS

作　　者：林源[1] 王润秀[1] 农庆文[1] 陆树良[2] 张立明[1] 刘达恩[1] 乔亮[2] 

机构地区：[1]广西医科大学第一附属医院烧伤整形康复中心,南宁530021 [2]上海第二医科大学附属瑞金医院,上海市烧伤研究所200025

出　　处：《广西医科大学学报》2003年第3期319-321,共3页Journal of Guangxi Medical University

基　　金：国家重点基础研究发展规划项目 ("973"项目 )基金资助( No.19990 5 42 0 5 );美国促进人类健康基金会资助 ( No.PSBH2 0 0 0 -2 4)

摘　　要：目的 :探讨外科治疗糖尿病足部溃疡以降低其高位截肢率的措施。方法 :对 87例糖尿病足部溃疡住院病人采用皮瓣移植为主的手术方法进行修复。结果 :87例糖尿病足部溃疡应用皮瓣修复 5 1例 (5 8.6 2 % ) ,皮片移植 8例 (9.2 0 % ) ,单纯截趾 1 0例(1 1 .4 9% ) ,高位截肢 1 8例 (2 0 .6 9% ) ,一期愈合率为 90 .80 %。结论 :采用皮瓣移植为主的外科治疗 。Objective:To explore the surgical treatment for diabetic foot ulcers and reduce its high level amputation rate. Methods:87 cases of diabetic foot ulcers were repaired with proper surgical treatment. Result:51 cases were repaired with flap (58 62%),high level amputation was operated in 18 cases(20 69%),and split thickness skin was grafted in 8 cases (9.20%).The first stage healing was 90.80%.Conclusion:Surgical treatment with flap can reduce high level amputation rate of diabetic foot ulcers.

关 键 词：糖尿病足部溃疡 外科治疗 临床研究 手术方法 高位截肢率 

分 类 号：R587.2[医药卫生—内分泌] R632.1[医药卫生—内科学]