摘要
Abstract
Objective:Through a retrospective study of cases of diabetic foot nearly the past five years , to find out the problems in treatment of diabetic foot and to analyze the reasons , to find out the standard treatment of diabetic foot and to provide a reference for the fellows.Methods:To study the medical records of 66 cases of diabetic foot patients who treated in our hospital from September 2003 to September 2012, to follow-up study on 50 patients from 3 months to 6 years.For debridement, skin grafting, amputated (cut toe) pro-cessing and function of limbs , recurrences , necrotic area continues to expand gradually to identify problems and defects in patients with conservative treatment fails , then itemized analysis of the reasons , based on clinical experience and the lessons learned from the summary;and finally to proposes the standardized treatment of specific programs for the treatment of diabetic foot .Results:In 50 patients with am-putated (cut toe) surgery patients, 44 patients did not happen again gangrene , a success rate of 88%;2 patients with secondary gan-grene secondary the amputation ( cut-off toe) , the failure rate was 4%;17 cases of wound infection , the infection rate was 34%; the reason was that the majority of remote microcirculation channel has been lost .Conclusion:The key issue is the timely detection and man-agement of diabetic foot;in the same time,to reference multidisciplinary treatment given advice on diabetic foot treatment and prevention will play an important role .To make an accurate assessment of the distal diabetic foot microcirculation will reduce the frequency of recur -rence and reoperation .关键词
糖尿病足病/远端微循环/截肢/截趾Key words
Diabetic foot disease/Remote microcirculation/amputation/cut -off toe分类
医药卫生
