Datsenko B M, Belov S G, Girka E I
Klin Khir. 2001 Aug(8):10-2.
Results of treatment of 207 patients with purulent-necrotic complications of the diabetic foot syndrome (DFS) were analyzed. Tactics of treatment was determined considering the DFS form presented, stage of the extremity ischemia, character and severity of purulent-inflammatory affection and the patient's homeostasis state. Urgent operation was performed in 79 (38.1%) patients, in 38 (48.1%) of them--amputation of extremity. In late follow-up period 98 (47.3%) patients were operated on, in 76 (75.5%) of them necrectomy or small amputation was performed, allowing to preserve the extremity. Conservative treatment was conducted in 30 (14.5%) patients with trophic ulcers. Application of elaborated program of treatment had permitted to increase the preservation frequency of supporting function of foot from 28.9 to 56.3% and to reduce general lethality from 18.3 to 13.5%.
对207例糖尿病足综合征（DFS）化脓性坏死并发症患者的治疗结果进行了分析。根据所呈现的DFS类型、肢体缺血阶段、化脓性炎症的性质和严重程度以及患者的内稳态状态来确定治疗策略。79例（38.1%）患者接受了急诊手术，其中38例（48.1%）进行了截肢手术。在随访后期，98例（47.3%）患者接受了手术，其中76例（75.5%）进行了坏死组织切除术或小截肢术，从而保住了肢体。30例（14.5%）患有营养性溃疡的患者接受了保守治疗。采用精心制定的治疗方案使足部支撑功能的保留率从28.9%提高到56.3%，并使总死亡率从18.3%降至13.5%。
