糖尿病下肢病变多学科诊疗模式优势和必要性

Advantages and necessity of multi-disciplinary treatment on diabetic lower extremity lesions

糖尿病下肢病变(diabetic lower extremity lesions,DLEL)表现为与糖尿病下肢血管与神经病变有关的下肢疼痛、感觉与运动障碍、溃疡和深部组织破坏及继发感染等,其病变波及多个器官系统,发病机制复杂,治疗难度大。本文从该病的发病机制出发,并对其治疗进行综述,以期为DLEL的多学科诊疗模式(multi-disciplinary treatment,MDT)治拓展新思路。

Diabetic lower extremity lesions(DLEL)occur as lower extremity pain,sensory and motor disturbance,ulcers,destruction of deep tissues and subsequent infections related to lower extremity vasculopathy and neuropathy in diabetes.The disease affects multiple organ systems,leading to complicated pathogenesis and difficulty in treatment.This article reviews the pathogenesis and treatments of diabetic lower extremity lesions,hoping to expand new ideas for the multi-disciplinary treatment of DLEL.