Kucherovskiĭ O Iu, Paramonov V E, Bykov V M, Morozov D N, Vlasov K E, Leonova N V
Khirurgiia (Mosk). 1999(7):49-51.
The authors present the experience of combined surgical treatment of 94 patients with complicated "diabetic foot". In the majority of patients (92.8%) there was ischemic form of diabetic foot. Wide usage of staged necrectomies as treatment modalities, preferable use of economical amputations and exarticulations, continuous intensive intraarterial infusion (heparine, desaggregants, antibiotics, insulin suspension) contributed to preservation of the limbs in 82.6% of cases.
作者介绍了94例复杂性“糖尿病足”患者的联合手术治疗经验。大多数患者(92.8%)患有缺血型糖尿病足。分期坏死组织切除术作为治疗方式的广泛应用、经济截肢和关节离断术的优先采用以及持续强化动脉内灌注(肝素、解聚剂、抗生素、胰岛素悬液)使得82.6%的病例肢体得以保留。