Rivolta Nicola, Piffaretti Gabriele, Tozzi Matteo, Lomazzi Chiara, Maida Simona, Riva Francesca, Buscarini Elena, Castelli Patrizio
Vascular Surgery, Department of Surgical Sciences, University of Insubria, Varese, Italy.
Int J Surg. 2008;6 Suppl 1:S75-7. doi: 10.1016/j.ijsu.2008.12.015. Epub 2008 Dec 13.
Diabetic foot is complex and difficult to treat. More aggressive treatment using peripheral distal by-pass frequently combined to minor amputations has greatly improved limb salvage in most patients. However, diabetes-related amputations are at high risk of non-healing or superinfection, thus requiring a second-step surgical revision treatment more frequently than in non-diabetic patients. Several advanced technologies have been developed to improve the treatment of diabetic foot wounds including Vacuum Assisted Therapy: we present 3 cases of diabetic patients treated with preliminary surgical peripheral revascularization, subsequent minor amputation in combination with Vacuum Assisted Therapy performed in a day-surgery regime.
糖尿病足病情复杂且治疗困难。采用外周远端旁路术并常结合小截肢术的更积极治疗方法，已使大多数患者的肢体挽救情况有了很大改善。然而，与糖尿病相关的截肢存在不愈合或继发感染的高风险，因此比非糖尿病患者更频繁地需要第二步手术翻修治疗。已经开发了几种先进技术来改善糖尿病足伤口的治疗，包括负压辅助治疗：我们介绍3例糖尿病患者的治疗情况，这些患者先接受了外周血管重建手术，随后在日间手术模式下结合负压辅助治疗进行了小截肢术。
