Brandl Richard, Stiegler Hubert
Praxis für Gefäßchirurgie und Venenmedizin am Marienplatz, München.
Klinik für Medizinische Angiologie, Klinikum München-Schwabing.
Dtsch Med Wochenschr. 2015 Apr;140(8):593-602. doi: 10.1055/s-0041-101257. Epub 2015 Apr 16.
The diabetic foot syndrome (DFS) is a complication of diabetes mellitus, implying a serious impairment in quality of life for patients in advanced stages of the disease. Early detection of risks and stage-appropriate intervention are essential to increase the chances of foot salvage. The pathophysiological conditions for the formation of a DFS and treatment guidelines are currently underestimated. Up to 80 % of amputations are preventable if appropriate therapeutic steps were initiated on time in patients with DFS as part of a multidisciplinary approach. By proper prevention, the number of patients with DFS as well as the risk of recurrent ulcers can be reduced. This CME article gives an overview of the pathogenesis, diagnosis, therapy and prevention of DFS.
糖尿病足综合征（DFS）是糖尿病的一种并发症，意味着处于疾病晚期的患者生活质量严重受损。早期发现风险并进行适当阶段的干预对于提高保肢几率至关重要。目前，DFS形成的病理生理状况和治疗指南未得到充分重视。如果对DFS患者及时采取适当的治疗措施，作为多学科方法的一部分，高达80%的截肢是可以预防的。通过适当的预防，可以减少DFS患者的数量以及溃疡复发的风险。这篇继续医学教育文章概述了DFS的发病机制、诊断、治疗和预防。
