Repair of 403 patients of diabetic foot ulcer

doi:10.3877/cma.j.issn.1673-9450.2017.04.005

Abstract

Abstract:

Objective

To discuss the diagnosis and treatment of diabetic foot ulcer diabetic foot ulcer (DFU) and experience.

Methods

From January 2014 to December 2015, all 403 patients of DFU were analysed in the People′s Hospital of Xinjiang Uygur Autonomous Region. The patients of DFU in Wagner classificationⅠ and Ⅱ were mainly treated with wound dressing, local injection of insulin, negative pressure closed drainage and biological dressing coverage and other conservative measures. The patients of DFU in Wagner classification Ⅲ, Ⅳ and Ⅴ or combined with severe lower extremity arteriosclerosis obliterans were mainly treated with surgery, such as debridement, skin grafting, flap transfer repair, amputation (toe) and so on.

Results

There were no perioperative deaths and serious complications during hospitalization. Among them, there were 125 cases of conservative treatment, and 170 patients were treated with debridement, a total of 108 patients were treated with various methods. All the patients were well healed and discharged. The median follow-up was 10 months, 32 patients were recurrence, 26 patients were chronic pain and 2 patients were died of multiple organ dysfunction syndrome during follow-up.

Conclusion

A single treatment of DFU is difficult to work, a variety of means of comprehensive treatment would will have been taken to achieve the purpose of wound healing.

Key words: Diabetic foot, Combined modality therapy, Surgical procedures, operative, Wound healing

Xiaolong Liu, Fuzeng Su, Tianjian Zha, Lihua Liu, Zhao Chen, Zhizhong Wang, erlan Nu. Repair of 403 patients of diabetic foot ulcer[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2017, 12(04): 269-273.

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Figures/Tables 3

References 16

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