糖尿病足溃疡合并下肢血管病变的外科诊疗全国专家共识(2024版)

National expert consensus on the diagnosis and surgical treatment of diabetic foot ulcers complicated with lower extremity vasculopathy(2024 version)

糖尿病足溃疡合并下肢血管病变具有发病率高、愈合缓慢、预后差的特点,如不经规范治疗易导致截肢甚至危及生命。针对合并下肢血管病变的治疗对改善糖尿病足溃疡的愈合进程至关重要,在临床实践中逐渐得到重视。近年来,关于糖尿病足溃疡合并下肢血管病变的临床研究已见诸多报道,为了进一步规范临床诊疗,由中国老年医学学会烧创伤分会、中华医学会烧伤外科学分会、中国医师协会创面修复专业委员会牵头的专家组共同审议并编写了《糖尿病足溃疡合并下肢血管病变的外科诊疗全国专家共识(2024版)》。该共识以文献证据为基础,内容涵盖了糖尿病足溃疡合并下肢血管病变的疾病特征、临床诊疗循证证据以及新技术和新治疗方法的应用,旨在为临床工作者提供关于糖尿病足溃疡合并下肢血管病变最佳筛查和诊疗方法的明确指导,希望为从事糖尿病足创面治疗的医务人员提供规范性的临床实践依据。

Diabetic foot ulcers complicated with lower extremity vasculopathy possess the characteristics of high incidence,slow healing,and poor prognosis,which may eventually lead to amputation or even life-threatening if not treated properly.The treatment of complicated lower extremity vasculopathy is vital to improve the healing process of diabetic foot ulcers,which has gradually received attention in clinical practice.Recently,a number of clinical trials on diabetic foot ulcers complicated with lower extremity vasculopathy were reported.In order to further standardize the clinical diagnosis and treatment of diabetic foot ulcers complicated with lower extremity vasculopathy,an expert group headed by Burns and Trauma Branch of Chinese Geriatrics Society,Chinese Burn Association,and Wound Repair Professional Committee of Chinese Medical Doctor Association deliberated and compiled the National expert consensus on the diagnosis and surgical treatment of diabetic foot ulcers complicated with lower extremity vasculopathy(2024 version)together.This consensus is based on evidences from the literature,covers the disease characteristics,evidence-based evidence of clinical diagnosis and treatment,as well as the application of new technologies and new treatment approaches of diabetic foot ulcers complicated with lower extremity vasculopathy.The goal of this consensus is to provide clear guidance to practitioners on the best approaches for screening,diagnosing,and treating diabetic foot ulcers complicated with lower extremity vasculopathy in individuals,hoping to provide a normative clinical practice basis for medical staff engaged in the treatment of diabetic foot wounds.