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游离皮瓣修复糖尿病足溃疡的应用研究进展

[Research advances on the application of free flaps in repairing diabetic foot ulcers].

作者信息

Jian Y, Wei Z R, Chen W, Zhang Y J, Tang M Y, Zhong Y X, Liu C X X

机构信息

Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, China.

出版信息

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Apr 20;39(4):376-380. doi: 10.3760/cma.j.cn501225-20221216-00539.

Abstract

Free flaps have been successfully used in the repair of diabetic foot ulcers (DFUs), which can reduce amputation rate, maintain normal gait of patients, and improve life quality of patients. However, there are still many challenges in the repair of DFUs with free flaps, and many problems need to be solved. This paper summarizes the selection of patients, preoperative cautions, types of flaps, methods of vascular anastomosis, clinical effects, and existing problems in using free skin flaps for repairing DFUs.

摘要

游离皮瓣已成功应用于糖尿病足溃疡(DFU)的修复,可降低截肢率,维持患者正常步态,并提高患者生活质量。然而,游离皮瓣修复DFU仍存在诸多挑战,还有许多问题有待解决。本文总结了应用游离皮瓣修复DFU时患者的选择、术前注意事项、皮瓣类型、血管吻合方法、临床效果及存在的问题。

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本文引用的文献

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Diabetic foot resurfacing using microvascular tissue transfer from lateral thoracic region.
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[Clinical application of microdissected thin thoracodorsal artery perforator flaps for repair of diabetic foot ulcers].
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[Application of free anterolateral thigh flap with fascia lata for diabetic foot ulcers with bone exposure].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022 Jan 15;36(1):86-91. doi: 10.7507/1002-1892.202108110.
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