临床误诊误治2016，Vol.29Issue(11)：66-70,5.DOI:10.3969/j.issn.1002-3429.2016.11.022
由前跖区发展至跟结节的糖尿病足创面诊治分析
Diagnosis and Treatment of Diabetic Foot Wounds Extended form Plantar to Heel
摘要
Abstract
Objective To investigate methods of evaluating extented disease of diabetic foot (DF) infection, key points of DF debridement extended form plantar to heel and announcements of utilizing vacuum sealing drainage ( VSD ) in treatment of diabetic foot ulcers ( DFUs) . Methods Therapeutic processes for 2 patients with serious DFUs during July 2014 and December 2015 were retrospectively analyzed, and insufficiency points were summarized. Results Because of disease progression and inappropriate wound treatment, wounds of the 2 patients extended form plantar at admission to proximal part of heel, and the wounds of 2 patients were cured by treatments such as anti-infection, dressing change for debridement, assisted VSD, symptomatic treatment and in time for 5 and 7 months respectively. Conclusion Clinicians should understand anatomic structure of foot clearly in order to evaluate DFU severity correctly and identify possible progression of disease by clinical mani-festations of patients. DFU debridement should be appropriate so as to protect heel fat pads as far as possible. If heel fat pads are mainly exposed with liquefactive necrosis and infection, VSD is not the effective treatment for it.关键词
糖尿病足/外科治疗/感染Key words
Diabetic foot/Surgical procedures/Infection分类
医药卫生引用本文复制引用
王璐宁,杨彩哲..由前跖区发展至跟结节的糖尿病足创面诊治分析[J].临床误诊误治,2016,29(11):66-70,5.
