糖尿病并发皮肤慢性溃疡的外科治疗

目的 探讨糖尿病并发皮肤慢性溃疡的外科治疗。方法 回顾性分析2010年8月~2014年5月收治的糖尿病并发皮肤慢性溃疡患者42例。评估患者全身状况及溃疡创面情况,纠正代谢紊乱,溃疡创面行外科清创术、灌洗术。结果 42例患者均获得随访,随访时间为2.6±8.9(3~29)个月。27例患者溃疡创面甲级愈合,15例患者术后伤口溃疡仍然不愈合,感染逐渐加重。随后其中6例行截肢术,9例行截趾术。结论 糖尿病皮肤慢性溃疡的外科手术治疗可有效控制溃疡创面感染,促进溃疡愈合,缩短病程,降低致残率,提高患者生活质量。

Surgical Treatment of Diabetes Mellitus Complicated with Skin Chronic Ulcer

Objective To investigate the clinical effect of surgical treatment for diabetes mellitus complicated with skin chronic ulcer. Methods A retrospective analysis of clinical data in 42 patients were admitted from 2010 August to 2014 May. The therapy included body and ulcer evaluation, metabolism disorders correction, ulcer debridement and irrigation. Results All of the 42 patients were followed up for an average of 2.6±8.9(3-29)months. 27 patients ulcer healed completely. 15 patients ulcer didn't heal and still had infection. Then 6 patients had leg amputation, 9 patients had toe amputation. Conclusion Surgical treatment of diabetes mellitus complicated with skin chronic ulcer could effectively control ulcer infection, promote ulcer healing, shorten the course of treatment, reduce the disability rate, improve the patients' life quality.