剔骨皮瓣联合封闭式负压引流术治疗糖尿病足33例

目的 观察剔骨皮瓣联合封闭式负压引流术(VSD)在糖尿病足临床修复中的应用及其效果。方法 分析2014年6月至2017年6月安徽医科大学附属六安医院收治的需要手术治疗干预的33例患糖尿病足者,采用剔骨皮瓣联合VSD术修复其创面,对其治疗结果进行观察。结果 综合治疗11周后,19例痊愈,12例好转,2例无效截肢,其中1例截肢后死亡,有效率为93.9%,死亡率为2.9%。结论 糖尿病足伴有严重骨质破坏,组织坏死感染的病人,经过剔骨皮瓣联合VSD等综合治疗后能够得到良好治疗效果。

Filleted flap combined with vacuum sealing drainage for the treatment of 33 cases of diabetic foot

Objective To observe the clinical application and effects of filleted flap combined with vacuum sealing drainage(VSD) in the repair of diabetic foot.Methods Thirty-three cases of diabetic foot patients who needed surgical intervention in Lu''an Hospital Affiliated to Anhui Medical University from June 2014 to June 2017 were analyzed.Filleted flap combined with VSD was used to repair the wound and the treatment results were observed.Results Through 11 weeks of comprehensive treatment,19 cases were cured,12 cases were improved,and 2 cases had amputation.One died after amputation.The effective rate was 93.9%,and the death rate was 2.9%.Conclusion Patients with diabetic foot with severe bone destruction and tissue necrosis infection can get good therapeutic effect after filleted flap combined with VSD.