[Pyo-necrotic injuries in case of the neuro-ischemic form of diabetic foot syndrome].

Autor: Mitish VA, Pakhalova IuS, Eroshkin IA, Galstian GR, Blatun LA
Jazyk: ruština
Zdroj: Khirurgiia [Khirurgiia (Mosk)] 2014 (1), pp. 48-53.
Abstrakt: It was analyzed the results of examination and treatment of 217 patients with neuro-ischemic form of the diabetic foot syndrome. Diabetic macroangiopathy with critical limb ischemia (TASC II) was diagnosed in all patients. Tissue foot damage of grade 3 (Wagner) was observed in 100 (46.1%) patients, grade 4 - in 117 (53.9%) patients. The developed strategy of surgical treatment includes the revascularization of an affected limb, surgical management of a pyo-necrotic focus and the plastic reconstruction of the foot after rapid relief of ischemia symptoms. An application of such treatment strategy led to preserve a foot or a stump of the foot in 205 (94.5%) patients.
Databáze: MEDLINE