Lacant G
J Mal Vasc. 1981;6(3):225-8.
Prophylaxis plays an important role in the treatment of the diabetic foot. To prevent perforating plantar ulcers, static disorders should be treated by the use of an orthopaedic sole for improved weight distribution and prevention of hyperkeratosis. Minimal preventive surgery should be employed in cases with anterior foot deformities, to avoid complications from ill-fitting shoes. Therapy for the lesions themselves : bursitis, toe infections, necrosis, perforating plantar ulcers, includes general treatment of the diabetes, antibiotic therapy, vascular agents, bed rest with active mobilization, and appropriate local measures that are often prolonged and require great perseverance. Follow-up surveillance after healing is necessary to avoid recurrences.
预防在糖尿病足的治疗中起着重要作用。为预防足底穿孔性溃疡，对于静态障碍应使用矫形鞋垫进行治疗，以改善体重分布并预防角化过度。对于前足畸形的病例，应采用最小限度的预防性手术，以避免不合脚鞋子引发的并发症。针对病变本身（如滑囊炎、脚趾感染、坏死、足底穿孔性溃疡）的治疗包括糖尿病的综合治疗、抗生素治疗、血管活性药物治疗、卧床休息并积极活动，以及采取通常需要长期坚持且需极大毅力的适当局部措施。愈合后进行随访监测以避免复发。
