Surgical treatment of diabetic foot ulcers: a review of forty-eight cases.
Surgical treatment of diabetic foot ulcers: a review of forty-eight cases.
复制标题
糖尿病足溃疡的手术治疗：四十八例回顾。
DOI：
--
复制
发表时间：
1984
期刊：
影响因子：
--
通讯作者：
D. Doyle
中科院分区：
文献类型：
--
作者：
R. Sage;D. Doyle
大血管疾病、小血管疾病和神经病变使糖尿病足特别容易溃疡。糖尿病足的血管损伤程度可能不同，因此，溃疡患者可分为缺血性和非缺血性组。缺血的程度，而不一定是病变的范围，是评估治疗潜在结果的最重要因素。48例糖尿病性溃疡患者接受局部手术干预，以避免高位截肢，根据多普勒研究和体格检查，将其分为缺血性和非缺血性。缺血组的成功率为25%。非缺血组的成功率为83%。得出的结论是，糖尿病溃疡的局部手术治疗可以成为糖尿病患者根治性截肢的成功替代方案，特别是在可以证实有足够的血流量时。各种手术和非手术方法，所有等级的糖尿病足也进行了讨论。
Large vessel disease, small vessel disease, and neuropathy leave the diabetic foot especially vulnerable to ulceration. The degree of vascular impairment of diabetic feet can vary, and such, patients with ulcers can be separated into ischemic and nonischemic groups. The degree of ischemia, and not necessarily the extent of the lesion, is the most significant factor in evaluating the potential outcome of treatment. Forty-eight cases of diabetic ulceration treated with local surgical intervention in an effort to avoid higher amputation were classified as ischemic and nonischemic, based on Doppler studies and physical examination. The success rate in the ischemic group was 25%. The success rate of the nonischemic group was 83%. It is concluded that local surgical management of diabetic ulceration can be a successful alternative to radical amputation in the diabetic patient, especially when adequate blood flow can be verified. Various surgical and nonsurgical approaches to all grades of diabetic feet are also discussed.