Ann Palliat Med:整形外科原理指导下的糖尿病足溃疡创面修复手术具有良好的疗效和安全性

2022-06-03 sunshine MedSci原创

糖尿病足(DF)是糖尿病最严重的并发症之一,是指糖尿病神经病变,包括下肢感染、溃疡、周围神经感觉障碍引起的深部组织损伤、植物神经损伤、下肢神经病变和不同程度的周围血管病变。

糖尿病足(DF)是糖尿病最严重的并发症之一,是指糖尿病神经病变,包括下肢感染、溃疡、周围神经感觉障碍引起的深部组织损伤、植物神经损伤、下肢神经病变和不同程度的周围血管病变。DF的高发病率和致残率已经成为一个严重的社会问题。近日,发表于Ann Palliat Med的一项研究探讨了整形外科对经系统治疗和局部感染控制的DF溃疡患者的疗效。

研究共纳入112例DF患者,根据治疗方法将其随机分为手术组和药物治疗组。首先,对致病菌进行分离和培养,探讨引起糖尿病足溃疡的特殊因素。其次,分析患者的伤口恢复情况和平均住院时间,比较不同治疗方法对患者临床治愈率和恢复率的影响。

结果显示,53例患者被诊断为2型DF,占47.32%;22例患者被诊断为DF疾病并发感染,占19.64%;25例患者被诊断为DF并发溃疡,占22.32%;12例患者被诊断为DF并发溃疡感染,占10.71%。在培养的病原体中,粪肠球菌所占比例最高(19.35%)。对Wagner分级进行统计分析厚的结果显示,随着等级的提高,患者的伤口恢复时间逐渐增加,其中V级的恢复时间最长,I级的恢复时间最短。此外,随着住院时间的延长,溃疡伤口的面积逐渐减少。在诱发因素的分析中,有17例为剪指甲,占15.18%。

综上所述,该研究结果表明,整形外科原理指导下的DF溃疡创面修复手术具有良好的疗效、安全性和可靠性,值得临床推广。

原始出处:

Zhiyuan Wu, et al., Plastic surgical repair of ulcer wounds of diabetic foot patients through systemic treatment and local infection control. Ann Palliat Med. 2022 Apr;11(4):1453-1461. doi: 10.21037/apm-22-352.

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    2023-03-31 qindq
  4. 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createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Fri Jun 03 11:45:02 CST 2022, time=2022-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1329621, encodeId=c3bf132962198, content=<a href='/topic/show?id=bb96232801' target=_blank style='color:#2F92EE;'>#ALL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2328, encryptionId=bb96232801, topicName=ALL)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/C2EFD5CFB07FE291138AD4FD0C98E3DE/100, createdBy=e3d52500031, createdName=膀胱癌, createdTime=Tue May 31 11:06:59 CST 2022, time=2022-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1511296, encodeId=db4e1511296f3, content=<a 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11:06:59 CST 2022, time=2022-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525759, encodeId=67c61525e5926, content=<a href='/topic/show?id=3c015e83622' target=_blank style='color:#2F92EE;'>#整形外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57836, encryptionId=3c015e83622, topicName=整形外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1bd811658646, createdName=yuandd, createdTime=Tue May 31 11:06:59 CST 2022, time=2022-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1611612, encodeId=4d83161161274, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Tue May 31 11:06:59 CST 2022, time=2022-05-31, status=1, ipAttribution=)]
    2022-06-03 yangchou

    好文章,谢谢分享。

    0

  5. 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createdBy=16ef32982072, createdName=经常头晕, createdTime=Sun Mar 19 03:06:59 CST 2023, time=2023-03-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1632010, encodeId=a6931632010e6, content=<a href='/topic/show?id=b88a321e6b2' target=_blank style='color:#2F92EE;'>#创面#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32176, encryptionId=b88a321e6b2, topicName=创面)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6fda21837820, createdName=qindq, createdTime=Fri Mar 31 21:06:59 CST 2023, time=2023-03-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1224228, encodeId=c40012242284f, content=好文章,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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11:06:59 CST 2022, time=2022-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525759, encodeId=67c61525e5926, content=<a href='/topic/show?id=3c015e83622' target=_blank style='color:#2F92EE;'>#整形外科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57836, encryptionId=3c015e83622, topicName=整形外科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1bd811658646, createdName=yuandd, createdTime=Tue May 31 11:06:59 CST 2022, time=2022-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1611612, encodeId=4d83161161274, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Tue May 31 11:06:59 CST 2022, time=2022-05-31, status=1, ipAttribution=)]
    2022-05-31 膀胱癌
  6. 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  7. 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  8. 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