糖尿病足的外科治疗进展
Surgical advances in the treatment of diabetic foot
沈广辉 1洪磊 1胡海峰 1王晓天1
作者信息
- 1. 中国科学技术大学附属第一医院(安徽省立医院)血管外科,合肥 230001
- 折叠
摘要
糖尿病足合并外周动脉疾病往往会导致足部溃疡加剧、易发感染甚至截肢.糖尿病足需要多学科的正确评估和综合诊治.外科手术重建下肢血运是促进糖尿病足溃疡愈合、降低患者截肢率的重要保障.在血运重建过程中,术者可根据糖尿病足下肢缺血特征以及溃疡严重程度合理选择手术方式.该文就糖尿病足的病变基础、外科准备及外科治疗做一总结和展望.
Abstract
Diabetes foot combined with peripheral arterial disease often leads to exacerbated foot ulcers,in-creased susceptibility to infections,and even amputations.A multidisciplinary approach is essential for the accurate as-sessment and comprehensive treatment of diabetic foot.Among them,surgical reconstruction of lower limb blood flow is a crucial guarantee for promoting the healing of diabetic foot ulcers and reducing amputation rates.During the vascular re-construction process,the surgeon can judiciously choose the surgical approach based on the ischemic characteristics of diabetic foot and the severity of ulcers.This article provides a summary and outlook on the pathological basis,surgical preparation,and surgical treatment of diabetic foot.
关键词
糖尿病足/外周动脉疾病/血运重建/溃疡/清创术Key words
Diabetic foot/Peripheral arterial disease/Vascular reconstruction/Ulcers/Debridement引用本文复制引用
基金项目
安徽省自然科学基金面上项目(2208085MH199)
出版年
2024
国家科技期刊平台
NSTL
万方数据