糖尿病足溃疡的局部治疗

Local treatment of diabetic foot ulcers

糖尿病足溃疡是一种常见的糖尿病并发症,治疗不及时会导致截肢。糖尿病足溃疡的治疗应在全身治疗的基础上强调局部治疗,主要包括清创术、生物敷料、减轻负重、血管重建治疗(包括介入治疗、血管搭桥与干细胞治疗)、医用蛆治疗等。本文就近年来局部治疗的研究进展作一综述。

Diabetic foot ulcers is a common complications of diabetes,and will lead to limb amputation if not treated timely.The treatment of diabetic foot ulcers should stress local treatment based on systemic therapy.Local treatment includes debridement,biological dressing,offloading,revascularization（which contains intervention therapy,blood vessal bypass,stemcell therapy）,medical maggot therapy and so on.In this paper,recent progress in local treatment will be introduced.