摘要
目的探讨糖尿病溃疡难愈创面修复方法。方法回顾性分析我科2005年8月至2010年11月期间113例(122条患肢)糖尿病足患者的临床资料。113例糖尿病足部溃疡应用自体游离皮片移植83例(73.45%);局部皮瓣修复者27例(23.89%);30例行单纯足趾截除41趾;3例行截肢术。结果自体游离皮片移植成活率为81.92%,局部皮瓣修复I期愈合率为85.19%。86例获得6个月-4.5年的随访,平均17个月,7例溃疡复发,复发率8.14%,其余创面愈合良好。结论采用皮瓣和皮片移植修复创面,可缩短溃疡愈合时间,提高患者生活质量。
Objective To explore the repair method for refractory diabetic wound. Methods We conducted a retrospective cohort study of a total of 113 patients( 2005.8 - 2010.11 ) with refractory diabetic foot ulcers treated with proper surgical treatments. Results Of all patients,83 were treated by autologous free skin graft(73.45% ) ,with one stage wound healing rate of 81.92% ; 27 were repaired with skin flap (23.89%), with survival rate of the flap of 85.19% ; 30 (41 toes)underwent simple toe amputation; 3 underwent amputation. In total of 86 patients were followed up for 6 months - 4.5 years (averaging 17 months) ,which showed that ulcer recurred in 7 patients(8.14% ). Conclusion Flap and skin graft repair could effectively shorten ulcer healing time and promote the quality of life.
出处
《临床外科杂志》
2012年第3期186-188,共3页
Journal of Clinical Surgery
关键词
糖尿病足
清创
外科皮瓣
皮片移植
截肢术
diabetic foot
debride
surgical flap
skin grafting
amputation