Clincal study of treatment for refractory diabetic wound

VernacularTitle:糖尿病难愈创面治疗的临床研究
Author: Zhenqiang SONG ; Runxiu WANG ; Yuan LIN ; Daen LIU ; Ziqian LIANG ; Liming ZHANG ; Qingwen NONG ; Shuliang LU
Publication Type:Journal Article
Keywords: Diabetic foot; Surgical flap; Skin grafting; Amputation
From: Chinese Journal of Trauma 2010;26(8):731-733
CountryChina
Language:Chinese
Abstract: Objective To explore the repair method for refractory diabetic wound. Methods A total of 206 patients with refractory diabetic foot ulcers were treated with proper surgical treatments.Results Of all, 106 patients were treated by skin flap (51.5 % ), with one stage wound healing rate of 85.8%; 122 patients were repaired with split-thickness skin graft ( 59.2% ), with survival rate of the graft for 79.5%. Simple toe amputation was made in 34 patients (46 toes). The high level amputation was performed in 56 patients (27.2%). Of all, 132 patients were followed up for 6-18 months, which showed that ulcer recurred in 12 patients (9.1%). Conclusion Timely and effective treatment as well as flap and skin graft repair could reduce high level amputation rate of diabetic foot ulcer and promote the quality of life.