Kucan J O, Robson M C
Plast Reconstr Surg. 1986 Mar;77(3):439-41. doi: 10.1097/00006534-198603000-00018.
Following an initial report urging conservative management of severe diabetic foot infections, the authors have managed 45 patients with a minimum 3-year follow-up. By using standard principles for soft-tissue infection, 78 percent of the patients healed minor amputation sites and maintained biped ambulation following the initial foot involvement. Only 22 percent required a major amputation at the time of the initial foot involvement. The 45 patients were followed and 22 (or 49 percent) developed a severe infection involving the contralateral foot within 18 months. Although 15 of the 22 patients developing contralateral infection (or 33 percent of the total series) required some type of amputation on the contralateral foot, the conservative approach allowed 64 percent of the patients with severe infections in both feet to maintain biped ambulation. This included 40 percent of the patients who required amputation of some portion of both feet.
在一份初步报告敦促对严重糖尿病足感染采取保守治疗后，作者对45例患者进行了至少3年的随访。通过运用软组织感染的标准原则，78%的患者在初次足部感染后，小截肢部位愈合并保持双下肢行走。仅22%的患者在初次足部感染时需要进行大截肢。对这45例患者进行随访，其中22例（占49%）在18个月内出现了累及对侧足部的严重感染。虽然发生对侧感染的22例患者中有15例（占全部病例的33%）需要对侧足部进行某种类型的截肢，但保守治疗方法使64%双脚严重感染的患者能够保持双下肢行走。这其中包括40%需要对双脚部分部位进行截肢的患者。
