探讨个性化处理治疗糖尿病足创面的效果。

回顾性研究1997年10月至2014年12月北京积水潭医院烧伤科及内分泌科收治的糖尿病足溃疡患者216例，在遵循控制血糖及感染的基础上，根据患者创面具体情况进行个性化处理。

216例患者中，1例因多器官功能衰竭死亡；2例行小腿截肢术(其中1例因骨折术后感染、骨坏死截肢)；感染足趾截趾、剔骨皮瓣修复45例；清创＋负压吸引治疗14例(其中，创面直接缝合3例，负压吸引后创面植皮愈合11例)；清创＋换药＋植皮修复97例；皮瓣移植修复13例；清创＋换药治疗44例。

个性化处理是糖尿病足创面较为理想的治疗方案。

To explore the suitable wound treatment of diabetic foot for individual patient.

Two hundred and sixteen patients, with diabetic foot wounds, admitted in Beijing Jishuitan Hospital from Oct 1997 to Dec 2014, were performed personalized treatment according to given situation, except for following the principle of controlling blood sugar and infection.

Of all the patients, 1 case died of multiple organ failure, 2 wounds were recovered through lower limb amputation(including 1 case of bony infection and necrosis postoperative), 45 wounds were repaired with filleted flaps after the infective toes amputation. Fourteen cases were treated with debridement and vacuum sealing drainage(3 wounds were sutured directly, 11 cases were healed with skin graft), 97 cases were repaired through debridement, dressing change and sequential skin graft, 13 wounds were reconstructed by flap transplantation, 44 cases were healed by dressing change after wound debridement.

Diabetic foot was one of the most serious complications of diabetes mellitus, the ideal management should differ from patient to patient and wound to wound, the individualized treatment had to be tailor-made for the given situation.