Gazivoda P L, Sollitto R J, Slomowitz H
Department of Podiatric Surgery, Kennedy Memorial Hospital, Saddle Brook, New Jersey.
J Foot Surg. 1990 Jan-Feb;29(1):72-9.
Foot lesions in diabetic patients with sensory deficiencies are ignored or not noted by the patients, therefore, leading to major infections of the soft tissue and/or bone. This can be quite devastating with subsequent loss of limb and life-threatening if the extent of the problem is not recognized and prompt treatment initiated. If an amputation is necessary, it should be performed at the lowest level possible. Part I of this series of articles, concerning diabetic foot amputations, will review the pathogenesis, indications, objective vascular criteria, basic surgical principles and complications of diabetic foot amputations. Case reports with various digital amputation procedures and their postoperative care will also be presented in detail. A team approach should be used in the treatment of diabetic foot disorders. The podiatrist, along with admitting internist, leads a team of other specialists including: radiologist, vascular surgeon, infectious disease physicians and plastic surgeon, depending on the progression of foot pathology.
感觉功能缺失的糖尿病患者足部病变往往被患者忽视或未被注意到，因此会导致软组织和/或骨骼的严重感染。如果问题的严重程度未被认识到且未及时开始治疗，这可能会相当严重，随后导致肢体丧失并危及生命。如果需要截肢，应在尽可能低的水平进行。本系列文章的第一部分，关于糖尿病足截肢，将回顾糖尿病足截肢的发病机制、适应症、客观血管标准、基本手术原则和并发症。还将详细介绍各种趾截肢手术的病例报告及其术后护理。糖尿病足部疾病的治疗应采用团队协作方法。足病医生与负责收治的内科医生一起，带领包括放射科医生、血管外科医生、传染病医生和整形外科医生在内的其他专家团队，具体取决于足部病变的进展情况。
