糖尿病足的治疗及进展

Therapeutic Progress of Diabetic Foot

糖尿病足是周围神经病变、缺血、足部畸形和感染共同作用的结果，是糖尿病发展后期的严重并发症，明确其发病机制对探讨疾病的发生发展有重要意义，诊断糖尿病足时应该明确其神经、血管、感染等情况。治疗方案也应根据溃疡的严重程度（Wagner分级）、血管状况、感染和神经病变的情况进行有针对性地治疗。

Diabetic foot results from ooaetion of many factors including peripheral neuropathy, ischemia ,foot abnormity and infection,which is a severe complication of diabetes in advanced stage. To identifying the mechanism will be important to debate the genesis and development of the disease. Related condition should be maken clear during the diagnosis of diabetic foot, whieh are nerves, vessels, infection and other related condition. The therapeutic method should also be made based on some factors, such as the severity of ulcer （Wagner grading） ,vaseulopathy,infeetion and neuropathy.