Хирургическая тактика лечения диабетической стопы

Аннотация

One of frequent complications of diabetes mellitus are trophic and it is purulent - necrotic defeats of feet, as a result of angiopatiya, polyneuropathy, integrated under the name "diabetic foot". The syndrome of diabetic foot meets at 30-80% of patients. At syndrome of "diabetic foot" there is center of infectious defeat, ulcer defect, destructions of deep fabrics of feet which lead to formation of purulent necrotic phlegmon and gangrene of extremities which demand operational treatment. In purulent department of the Samarkand city medical association observation over 67 patients with syndrome of "diabetic foot" is made. Into the present in practice we have entered double-stage operational treatment. At the first stage diabetic phlegmon is opened long rasslablyayushimi cuts with necretomy. At the second stage radical operation is made. Thanks to use of active surgical tactics by us the percent of proximal amputation has decreased from 19% to 4,5%.