整形外科原则在糖尿病足溃疡创面修复中的应用

Application of the plastic principles in surgical treatment for diabetic foot ulcer

目的探讨整形外科原则在糖尿病足溃疡患者修复手术中的应用，提高糖尿病足溃疡患者的一期愈合率，从而保留肢体、减少伤残。方法对51例行手术治疗的糖尿病足溃疡患者的临床资料进行回顾性分析。结果行游离植皮术26例，局部皮瓣移植术11例，截趾术11例，高位截肢术3例，创面一期愈合率为91．4％。结论在整形外科学原则指导下选择修复糖尿病足溃疡创面的手术方式，可提高溃疡愈合率，减少截肢率，改善患者生活质量。

Objective To explore the application of the plastic principles in surgical treatment for diabetic foot ulcer and analyze the therapeutic efficacy. Methods 51 cases of diabetic foot ulcer repaired with surgical treatment were analyzed. Results 26 cases repaired with free skin graft, 11 eases repaired with skin flap graft,3 cases repaired with amputation,the pereemage of first stage healing rate was 91.4%. Conclusion Application of the plastic principles in surgical treatment for diabetic foot ulcer, could improve the healing percentage and reduce the rate of amputation.