Herasymchuk P O
Klin Khir. 2002 Sep(9):44-6.
Results of surgical treatment of 189 patients with diabetes mellitus with the diabetic foot syndrome, suffering an ischemic gangrenous form, stages II-IV (according to Wagner), were analyzed. The accomplishment of surgical treatment or small amputation of foot and preservation of the extremity supportive function was tried in every patient. Optimization of the patients surgical treatment was elaborated, basing on clinical investigations data, rheovasography and estimation of local blood circulation in tissues according to hydrogen clearance. In 79.2% of observations the satisfactory outcome was achieved with the lower extremity preservation. In 21.8% patients after high amputation of extremity postoperative mortality had constituted 9.8%.
分析了189例患有糖尿病足综合征、处于缺血性坏疽型、II-IV期（根据瓦格纳分级）的糖尿病患者的外科治疗结果。对每位患者都尝试进行手术治疗或足部小截肢并保留肢体支撑功能。基于临床研究数据、血流图以及根据氢清除率对组织局部血液循环的评估，制定了患者手术治疗的优化方案。在79.2%的观察病例中，实现了保留下肢的满意结果。在21.8%的患者中，肢体高位截肢术后死亡率为9.8%。
