糖尿病足的创面修复156例

发布时间：2019-08-09 21:50

【摘要】：目的:探讨糖尿病患者足部溃疡创面修复。方法:总结156例糖尿病足创面,在全面正规的内科治疗的基础上,针对创面特征、血供特点、组织坏死程度,采用分期"蚕食性"清创方法,结合负压吸引、新型敷料、植皮及皮瓣修复治疗。结果:156例中2例死亡,4例失访,余150例痊愈,治疗周期平均56 d。结论:糖尿病足溃疡创面的修复要兼顾全身治疗和局部处理,创面宜分期、渐进性清创,逐步改善创面微环境,创面覆盖宜采用皮片移植,慎用皮瓣转移。
[Abstract]:Objective: to investigate the repair of foot ulcer wound in diabetic patients. Methods: 156 cases of diabetic foot wounds were summarized. On the basis of comprehensive and regular medical treatment, according to the characteristics of wound, the characteristics of blood supply and the degree of tissue necrosis, the method of "nibbling" debridement, combined with negative pressure attraction, new dressing, skin grafting and skin flap repair was used. Results: of the 156 cases, 2 cases died, 4 cases lost follow-up, the remaining 150 cases were cured, the average treatment cycle was 56 days. Conclusion: both systemic treatment and local treatment should be taken into account in the repair of diabetic foot ulcer wounds. The wounds should be phased, gradually debridged, and the wound microenvironment should be improved step by step. Skin graft should be used for wound coverage and skin flap transfer should be careful.
【作者单位】： 广州军区广州总医院整形外科;
【基金】：广东省科技计划项目(编号:2013B040401013)
【分类号】：R587.2

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