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目的总结糖尿病足溃疡的治疗方法。方法选择2007年8月至2014年2月航天中心医院73例糖尿病足溃疡患者在控制血糖、抗感染、改善循环、营养神经等基础治疗情况下,进行介入手术改善下肢动脉供血,并积极的创面处理。结果糖尿病足溃疡患者WagnerⅠ级26例及Ⅱ级19例全部愈合;Ⅲ级共15例有12例愈合,3例好转;Ⅳ级共8例有3例愈合,2例好转,2例截趾,1例自动出院;V级共5例有3例最终截肢,术后恢复良好,1例因感染加重而死亡,1例自动出院。总有效率为89.0%,治愈率为82.2%,截肢率为6.8%,病死率1.4%。结论全身综合治疗为基础,正确判断并处理糖尿病足创面,及时给予下肢动脉循环重建,可以减少糖尿病足的致残率,降低截肢率。
Objective To summarize the treatment of diabetic foot ulcer. Methods From August 2007 to February 2014, 73 patients with diabetic foot ulcer at Spaceflight Central Hospital underwent interventional procedures to improve the arterial blood supply of the lower extremities under the control of blood glucose, anti-infective, ameliorative circulation, and neurotrophic nerves. Positive wounds deal with. Results Wagner Ⅰ grade 26 cases and grade Ⅱ 19 cases were all healed in patients with diabetic foot ulcer; 12 cases healed in 15 cases in grade Ⅲ and 3 cases improved in grade Ⅲ; 3 cases healed in 8 cases in grade Ⅳ, 2 cases improved, One patient was discharged spontaneously. Five patients in grade V had the final amputation in 3 patients. Postoperative recovery was good. One patient died of aggravated infection and one patient was discharged automatically. The total effective rate was 89.0%, the cure rate was 82.2%, the amputation rate was 6.8% and the case fatality rate was 1.4%. Conclusions Based on the comprehensive treatment of the whole body, judging and treating diabetic foot wounds correctly and timely giving the revascularization of lower extremity arteries can reduce the morbidity rate and the rate of amputation of diabetic foot.