通过热成像评估聚乳酸膜治疗糖尿病足溃疡愈合情况:一例病例报告

Diabetic foot ulcer healing with polylactic acid membrane assessed by thermographic imaging: a case report.

作者信息

Loza-González Víctor Manuel, Martínez-Jiménez Mario Aurelio, Novoa-Moreno Ana Lorena, Ramírez-GarcíaLuna José Luis, Ortiz-Dosal Alejandra, Kolosovas-Machuca Eleazar Samuel

机构信息

Doctorado Institucional en Ingeniería y Ciencia de Materiales, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico.

Burn Unit, Hospital Regional de Alta Especialidad Dr. Ignacio Morones Prieto, San Luis Potosí, Mexico.

出版信息

Front Med (Lausanne). 2025 Jul 9;12:1568144. doi: 10.3389/fmed.2025.1568144. eCollection 2025.

Abstract

Diabetic foot ulcers reduce patient's quality of life and increase treatment costs, evaluating this condition is promising. We report the clinical progression of an elderly patient who developed a diabetic foot ulcer following minor trauma. She was treated for over 2 months until her condition progressed to Grade 4 on the Wagner Classification of Diabetic Foot. A Serial infrared thermography was performed. The treatment plan included antibiotics and a polylactic acid membrane until complete ulcer remission. Thermographic imaging showed a quantitative reduction of the temperature differences between the affected and contralateral foot from an initial ΔT: -4.6°C ± 2.4, progressing to ΔT: -1.7°C ± 1.6 at 12 weeks, and a temperature reduction from the proximal third tibial area with ΔT: -1.7°C ± 0.6, with a change to ΔT 0.8°C ± 0.4 at 12 weeks near the metatarsal bone region. This article underscores the use of infrared thermography to give physicians feedback on ulcer healing progression phases and treatment effectiveness.

摘要

糖尿病足溃疡会降低患者的生活质量并增加治疗成本,对这种病症进行评估很有前景。我们报告了一名老年患者在轻微创伤后发生糖尿病足溃疡的临床病程。她接受了两个多月的治疗,直到病情发展到糖尿病足瓦格纳分级的4级。进行了连续红外热成像检查。治疗方案包括使用抗生素和聚乳酸膜,直至溃疡完全愈合。热成像显示,患侧与对侧足部之间的温差从最初的ΔT:-4.6°C±2.4定量降低,在12周时降至ΔT:-1.7°C±1.6,胫骨近端三分之一区域的温度降低,ΔT:-1.7°C±0.6,在12周时跖骨区域附近变为ΔT 0.8°C±0.4。本文强调了使用红外热成像技术为医生提供关于溃疡愈合进展阶段和治疗效果的反馈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ab5/12283997/55db59042366/fmed-12-1568144-g001.jpg

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