[Treatment of purulent and necrotic lesions of the lower extremities in patients with diabetes mellitus].

The results of complex treatment of 172 diabetic patients with purulent-inflammatory lesions of the lower extremities, using intensive purposeful antibacterial and desintoxicative therapy, timely and sufficient opening of purulent foci as well as administration of desagregants, stimulators of reparative processes, anabolic hormones, vitamins etc., are presented. Correction of carbohydrate metabolism was performed by means of insulin therapy according to the optimized scheme. Use of UV irradiation of the blood of the patients and local antiinflammatory roentgenotherapy contributed to increase in effectiveness of treatment. Incidence of amputation of an extremity at a level of a thigh was 20.2%, lethality-8.1%.