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中华损伤与修复杂志(电子版) ›› 2020, Vol. 15 ›› Issue (04) : 256 -263. doi: 10.3877/cma.j.issn.1673-9450.2020.04.005

所属专题: 文献 指南共识

指南与共识

糖尿病足合并难愈性创面外科治疗全国专家共识(2020版)
郭光华1,(), 朱峰2, 闵定宏1, 黄跃生3,(), 吴军4   
  1. 1. 南昌大学第一附属医院
    2. 海军军医大学第一附属医院
    3. 深圳市人民医院(南方科技大学第一附属医院,暨南大学第二临床医学院)
    4. 深圳市第二人民医院(深圳大学第一附属医院)
  • 收稿日期:2020-07-12 出版日期:2020-08-01
  • 通信作者: 郭光华, 黄跃生

National expert consensus on surgical treatment of diabetic foot complicated with refractory wounds (2020 version)

Guanghua Guo1,(), Feng Zhu2, Dinghong Min1, Yuesheng Huang3,(), Jun Wu4   

  1. 1. First Affiliated Hospital of Nanchang University
    2. First Affiliated Hospital, Naval Military Medical University
    3. Shenzhen People′s Hospital (First Affiliated Hospital of Southern University of Science and Technology, Second Clinical Medical College of Jinan University)
    4. Shenzhen Second People′s Hospital, First Affiliated Hospital of Shenzhen University
  • Received:2020-07-12 Published:2020-08-01
  • Corresponding author: Guanghua Guo, Yuesheng Huang
  • About author:

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    Corresponding author: Guo Guanghua, 330006 Nanchang, Department of Burns, First Affiliated Hospital of Nanchang University, Email: ;
    Huang Yuesheng, 518020 Shenzhen, Department of Wound Repair, Institute of Wound Repair, Shenzhen People′s Hospital, First Affiliated Hospital of Southern University of Science and Technology, Second Clinical Medical College of Jinan University, Email:
引用本文:

郭光华, 朱峰, 闵定宏, 黄跃生, 吴军. 糖尿病足合并难愈性创面外科治疗全国专家共识(2020版)[J/OL]. 中华损伤与修复杂志(电子版), 2020, 15(04): 256-263.

Guanghua Guo, Feng Zhu, Dinghong Min, Yuesheng Huang, Jun Wu. National expert consensus on surgical treatment of diabetic foot complicated with refractory wounds (2020 version)[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2020, 15(04): 256-263.

糖尿病足溃疡是糖尿病最常见、最严重的并发症。周围神经病变、周围动脉疾病和创伤是导致足部溃疡发生的主要因素,而创面愈合不良又可引起慢性创面的发生,常导致截肢。虽然多学科治疗已成为广泛的共识,但及时采取有效的外科干预,可以控制创面感染,促进创面愈合,减少截肢发生率。为规范糖尿病足创面外科治疗,专家组主要从局部辅助治疗、介入治疗、血管重建、清创和手术治疗等方面进行讨论形成了共识,为临床相关专科的医护人员提供参考。

Diabetic foot ulcer is the most common and serious complications of diabetes. Peripheral neuropathy, peripheral artery disease and trauma are the main factors leading to foot ulcers, and poor wound healing can lead to the occurrence of chronic wounds, often leading to amputation. Although multidisciplinary treatment has become a widespread consensus, timely and effective surgical intervention can control wound infection, promote wound healing and reduce the incidence of amputation. In order to standardize the surgical treatment of diabetic foot wounds, the expert group mainly discussed and reached a consensus from the aspects of local adjuvant therapy, interventional therapy, vascular reconstruction, debridement and surgical treatment, providing reference for medical staff in relevant clinical specialties.

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