St George's Vascular Institute, St George's Healthcare NHS Trust, London, UK.
Eur J Vasc Endovasc Surg. 2013 Jun;45(6):673-81. doi: 10.1016/j.ejvs.2013.02.014. Epub 2013 Mar 27.
Diabetic foot ulceration (DFU) is associated with high morbidity and mortality, and represents the leading cause of hospitalization in patients with diabetes. Peripheral arterial disease (PAD), present in half of patients with DFU, is an independent predictor of limb loss and can be difficult to diagnose in a diabetic population. This review focuses on the evidence for therapeutic strategies in the management of patients with DFU. We highlight the importance of timely referral of patients presenting with a new foot ulcer to a multidisciplinary team, which includes vascular surgeons and interventional radiologists.
糖尿病足溃疡（DFU）与高发病率和死亡率相关，是糖尿病患者住院的主要原因。在患有 DFU 的患者中，有一半存在外周动脉疾病（PAD），它是肢体丧失的独立预测因素，并且在糖尿病患者中可能难以诊断。本综述重点介绍了治疗策略在 DFU 患者管理中的证据。我们强调了及时将新发足部溃疡患者转介给多学科团队的重要性，该团队包括血管外科医生和介入放射科医生。
