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目的:探讨糖尿病足外科治疗的有效方法,尽量保留肢体,降低伤残发生率。方法:从本院选择49例患者,除了采取胰岛素控制血糖、全身抗感染的措施外,再根据不同程度的溃疡实施有针对性的外科治疗措施。结果:全部患者在清创处理后愈合,其中有8例实行了截趾,3例行截肢术后愈合,2例行皮瓣移植,仅有1例在术后第四日由于急性心肌梗死而死亡。结论:对于糖尿病足,我们要及时采取有针对性的治疗措施,才能促使溃疡愈合,降低截肢率。
Objective: To explore effective methods of diabetic foot surgery, try to keep the limbs and reduce the incidence of disability. Methods: 49 patients selected from our hospital, in addition to taking insulin control of blood glucose, systemic anti-infection measures, and then according to different degrees of ulcer implementation of targeted surgical treatment. Results: All the patients healed after debridement treatment. Among them, 8 patients had trochlear aponeurosis, 3 patients had amputation, 2 had skin flap transplantation, and only 1 patient had acute myocardial infarction on the fourth postoperative day death. Conclusion: For diabetic foot, we must take timely and targeted treatment in order to promote ulcer healing, reduce amputation rate.