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目的:分析糖尿病足病因,探讨外科手术治疗方法及效果。方法:将我院在2014年1月—2017年1月收治的136例糖尿病足患者纳入研究,在分析糖尿病足病因的基础上,给ss予外科手术方法进行治疗,进一步对患者的外科手术效果进行评价。结果:此次纳入研究的136例糖尿病足患者,随机分成观察组68例和对照组68例,观察组采取换药清创基础治疗病情痊愈(57.35%),对照组在基础治疗上采取外科手术治疗病情痊愈(89.7%);其中包括截趾手术15例,所占比重为22.06%;截肢患者5例,所占比重为7.35%;皮瓣移植术2例,所占比重为2.94%。结论:糖尿病足的病因主要包括:细菌感染、神经病变以及血管病变等;针对糖尿病足患者,需加强临床诊断,分析糖尿病足病因,进一步根据糖尿病足患者的具体病情,采取有针对性的药物清创治疗方法及外科手术方法,从而确保患者获得有效的治疗,进一步提高患者的生存质量。
Objective: To analyze the etiopathogenisis of diabetic foot and to discuss the methods and effects of surgical treatment. Methods: 136 patients with diabetic foot admitted to our hospital from January 2014 to January 2017 were enrolled in the study. Based on the analysis of the etiology of diabetic foot, the patients were given surgical treatment and the surgical results were further analyzed Evaluation. Results: The 136 diabetic patients enrolled in this study were randomly divided into observation group (n = 68) and control group (n = 68). The observation group was treated by dressing debridement (57.35%), and the control group The treatment recovered (89.7%), including 15 cases of pedicure, accounting for 22.06%; 5 cases of amputation, accounting for 7.35%; and 2 cases of flap transplantation, accounting for 2.94%. Conclusion: The causes of diabetic foot include: bacterial infection, neuropathy and vascular disease; for patients with diabetic foot, need to strengthen the clinical diagnosis, analysis of the etiology of diabetic foot, further according to the specific conditions of patients with diabetic foot, take a specific drug clearance Create treatment methods and surgical methods to ensure that patients receive effective treatment to further improve the quality of life of patients.