糖尿病足保肢的Strauss分级筛选和治疗策略

Strauss classify screen and therapy strategy for keeping limbs of diabetic foot

目的:探讨糖尿病足保肢治疗的病例筛选和治疗方法的选择。方法:采用Strauss分级对60例糖尿病足患者进行筛选,其中A级、B级结合病变特征分成糖尿病缺血性足溃疡、糖尿病神经病变足、糖尿病足合并感染等类型,采用不同的综合治疗方法。结果:A级11例,全部愈合。B级44例,其中39例顺利愈合,3例病情反复、迁延(2个月)愈合,2例迁延不愈(达3个月)行大腿中上段截肢。C级5例全部截肢。总保肢率为88.4%。结论:Strauss分级简单实用,对判断糖尿病足预后十分明了。经典的治疗方法,能达到标本兼治的目的,新的治疗方法目前尚不能广泛开展。

0bjective：To investigate the selection of screen and therapy methods for diabetic foot in keeping limbs therapy.Methods：Sixty cases of diabetic foot were screened by Strauss classify,the A and B stage binding with pathological characters were divided into diabetic ischemia foot ulcer,diabetic neuropathy foot and diabetic foot concurrent infection and so on,the different combined therapies were used to them.Results：Eleven cases belonged to A stage were all healed.Forty-four cases were belonged to B stage,39 of them were successfully healed,3 of the pathogenetic condition were repeated and were delayed healing for 2 months,2 of pathogenetic condition delayed and couldn＇t be healed,for 3 months,then amputation was used in middle and superior segment of upper leg.Five belonged to C stage were all amputated.The total keeping limbs rate was 88.4%.Conclusions：Strauss classify is a simple and useful method which is fully distinct for judging the prognosis of diabetic foot.The classic therapy can get to the healing purpose,the new therapies still can＇t be extensively carried out in present.