医学
糖尿病足
重症监护医学
糖尿病
血运重建
糖尿病溃疡
清创术(牙科)
糖尿病足溃疡
外科
严重肢体缺血
干细胞疗法
移植
内科学
心肌梗塞
内分泌学
作者
Yang Li,Gui-Chuan Rong,Qinan Wu
出处
期刊:World Journal of Diabetes
[Baishideng Publishing Group Co (World Journal of Diabetes)]
日期:2022-12-14
卷期号:13 (12): 1014-1034
被引量:58
标识
DOI:10.4239/wjd.v13.i12.1014
摘要
Diabetic foot ulcers (DFUs) have become one of the important causes of mortality and morbidity in patients with diabetes, and they are also a common cause of hospitalization, which places a heavy burden on patients and society. The prevention and treatment of DFUs requires multidisciplinary management. By controlling various risk factors, such as blood glucose levels, blood pressure, lipid levels and smoking cessation, local management of DFUs should be strengthened, such as debridement, dressing, revascularization, stem cell decompression and oxygen therapy. If necessary, systemic anti-infection treatment should be administered. We reviewed the progress in the clinical practice of treating DFUs in recent years, such as revascularization, wound repair, offloading, stem cell transplantation, and anti-infection treatment. We also summarized and prospectively analyzed some new technologies and measurements used in the treatment of DFUs and noted the future challenges and directions for the development of DFU treatments.
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