糖尿病足手术安排的多学科方法：病例报告
Multidisciplinary approach to scheduling surgery for diabetic foot: a case report.
作者信息
Wang Guangyu, Wang Leiyong, Wang Yu, Xu Xuying
机构信息
Department of Chinese Medicine Surgery, Beijing Hospital of Traditional Chinese Medicine, Affiliated to the Capital Medical University, No.23, Back Road of the Art Gallery, Dongcheng District, Beijing, 100010, China.
出版信息
BMC Musculoskelet Disord. 2019 Apr 12;20(1):168. doi: 10.1186/s12891-019-2522-3.
BACKGROUND
The treatment of diabetic foot ulcers in this case is complex and multidisciplinary, and an interdisciplinary team is extremely beneficial.
CASE PRESENTATION
We performed the intervention on an old type 2 diabetes patient with poor health, whose left toes were severely necrotic. Surgery, including debridement and patella truncation, had positive effects on lower extremity circulation, infection control, cavity treatment, bone destruction, surgical debridement, recovery of foot function, and nursing. After 5 months, the patient's foot ulcer had healed, and walking function was preserved.
CONCLUSIONS
Scheduling interventional surgery and debridement are the key point in a complicated diabetic foot ulcers case, and multidisciplinary collaboration in treatment of diabetic foot is significantly important.
背景
该病例中糖尿病足溃疡的治疗复杂且需多学科协作，跨学科团队极为有益。
病例介绍
我们对一位健康状况不佳的老年2型糖尿病患者进行了干预，其左脚趾严重坏死。手术，包括清创术和髌骨截断术，对下肢循环、感染控制、创口处理、骨质破坏、手术清创、足部功能恢复及护理均有积极作用。5个月后，患者足部溃疡愈合，行走功能得以保留。
结论
安排介入手术和清创术是复杂糖尿病足溃疡病例的关键，糖尿病足治疗中的多学科协作极为重要。
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