【摘要】：目的:探討糖尿病患者足部潰瘍創(chuàng)面修復(fù)。方法:總結(jié)156例糖尿病足創(chuàng)面,在全面正規(guī)的內(nèi)科治療的基礎(chǔ)上,針對(duì)創(chuàng)面特征、血供特點(diǎn)、組織壞死程度,采用分期"蠶食性"清創(chuàng)方法,結(jié)合負(fù)壓吸引、新型敷料、植皮及皮瓣修復(fù)治療。結(jié)果:156例中2例死亡,4例失訪,余150例痊愈,治療周期平均56 d。結(jié)論:糖尿病足潰瘍創(chuàng)面的修復(fù)要兼顧全身治療和局部處理,創(chuàng)面宜分期、漸進(jìn)性清創(chuàng),逐步改善創(chuàng)面微環(huán)境,創(chuàng)面覆蓋宜采用皮片移植,慎用皮瓣轉(zhuǎn)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.
【作者單位】： 廣州軍區(qū)廣州總醫(yī)院整形外科;
【基金】：廣東省科技計(jì)劃項(xiàng)目(編號(hào):2013B040401013)
【分類號(hào)】：R587.2

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