糖尿病足的外科治疗进展

Surgical advances in the treatment of diabetic foot

糖尿病足合并外周动脉疾病往往会导致足部溃疡加剧、易发感染甚至截肢。糖尿病足需要多学科的正确评估和综合诊治。外科手术重建下肢血运是促进糖尿病足溃疡愈合、降低患者截肢率的重要保障。在血运重建过程中,术者可根据糖尿病足下肢缺血特征以及溃疡严重程度合理选择手术方式。该文就糖尿病足的病变基础、外科准备及外科治疗做一总结和展望。

Diabetes foot combined with peripheral arterial disease often leads to exacerbated foot ulcers,increased susceptibility to infections,and even amputations.A multidisciplinary approach is essential for the accurate assessment and comprehensive treatment of diabetic foot.Among them,surgical reconstruction of lower limb blood flow is a crucial guarantee for promoting the healing of diabetic foot ulcers and reducing amputation rates.During the vascular reconstruction process,the surgeon can judiciously choose the surgical approach based on the ischemic characteristics of diabetic foot and the severity of ulcers.This article provides a summary and outlook on the pathological basis,surgical preparation,and surgical treatment of diabetic foot.