Sanders L J
Clin Podiatr Med Surg. 1987 Apr;4(2):481-501.
This article presents an overview of the pathogenesis of diabetic foot lesions that lead to lower extremity amputation surgery. The magnitude of this problem is presented together with a brief historical perspective. Indications for "local amputation" of the foot are discussed as well as preoperative noninvasive hemodynamic evaluation of the patient, with determination of level of amputation. Surgical management is covered in detail, with discussion of factors important for amputation wound healing, selection of anesthesia and operative technique, use of tourniquet, and antibiotic considerations.
本文概述了导致下肢截肢手术的糖尿病足病变的发病机制。同时介绍了这一问题的严重程度及简要的历史背景。讨论了足部“局部截肢”的指征以及患者术前的无创血流动力学评估，并确定截肢平面。详细阐述了手术治疗，包括对截肢伤口愈合重要的因素、麻醉和手术技术的选择、止血带的使用以及抗生素的应用等方面的讨论。
