2010•Zhonghua chuangshang zazhiRequires access
Clincal study of treatment for refractory diabetic wound
Zhen-qiang Song, Runxiu Wang, Yuan Lin, Daen Liu, Zi-Qian Liang, Liming Zhang, Qingwen Nong, Shuliang Lu
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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.
Key words:
Diabetic foot; Surgical flap; Skin grafting; Amputation