糖尿病足的病因分析及外科手术治疗

Etiology analysis and surgical treatment of diabetic foot

目的:分析糖尿病足病因,探讨外科手术治疗方法及效果。方法:将我院在2014年1月—2017年1月收治的136例糖尿病足患者纳入研究,在分析糖尿病足病因的基础上,给ss予外科手术方法进行治疗,进一步对患者的外科手术效果进行评价。结果:此次纳入研究的136例糖尿病足患者,随机分成观察组68例和对照组68例,观察组采取换药清创基础治疗病情痊愈(57.35%),对照组在基础治疗上采取外科手术治疗病情痊愈(89.7%);其中包括截趾手术15例,所占比重为22.06%;截肢患者5例,所占比重为7.35%;皮瓣移植术2例,所占比重为2.94%。结论:糖尿病足的病因主要包括:细菌感染、神经病变以及血管病变等;针对糖尿病足患者,需加强临床诊断,分析糖尿病足病因,进一步根据糖尿病足患者的具体病情,采取有针对性的药物清创治疗方法及外科手术方法,从而确保患者获得有效的治疗,进一步提高患者的生存质量。

Objective:To analyze the etiology of diabetic foot and explore the methods and effects of surgical treatment.Methods:Sixty-eight patients with diabetic foot treated in our hospital from January 2015 to January 2016 were included in the study.On the basis of analyzing the etiology of diabetic foot,the surgical procedure was given and the surgical operation was evaluated.Result:The proportion of patients who were included in the study of 68 patients with diabetic foot disease was 57.35%,15 cases were divided into 22.06%,5cases were amputated,The proportion of 7.35%;flap transplantation in 2cases,the proportion of 2.94%.Conclusion:The main causes of diabetic foot include:bacterial infection,neuropathy and vascular disease;for diabetic foot patients,need to strengthen the clinical diagnosis,analysis of diabetic foot etiology,and further according to the specific conditions of diabetic foot patients,to take targeted drug debridement Treatment methods and surgical methods to ensure that patients receive effective treatment,and further improve the quality of life of patients.