The diabetic foot operation scheme must be considered synthetically

The diabetic foot operation scheme must be considered synthetically
The diabetic foot operation scheme must be considered synthetically
It is reported ' Reporter Wang Dan) Recently, the national diabetic foot scientific seminar is held in Beijing on the sixth. Surgical Deputy Director of research institute, surgical valley fountain professor of blood vessel of Xuanwu Hospital say the blood vessel of Capital University of Medical Sciences at the meeting, it is the important method of the ischemic and diabetic foot of treating the diabetic lower extremities at present that the blood flow of lower extremities artery is rebuilt. As to the choice of the operation way, clinicians should and amalgamate factors such as disease,etc. to consider synthetically all over according to patient's condition, health, "what selects something suit, can must guard against anything uses some. " It is introduced, the diabetic lower extremities are ischemic, the diabetic foot is the serious complication of diabetes, have morbidity to be high disabling the intersection of rate and high, the intersection of fatality rates and high and the intersection of cure rate and low characteristic. In our country is close to 100 million's diabetic, the lower extremities artery is hard to turn incidence of pathological change into 10%~50%, the morbidity of the diabetic foot is 2.6% to 5.2%, the amputation (toe) Rate is about 14%. The valley fountain is said, compared with the nondiabetic patient's vascular sclerosis, lower extremities of diabetic arteriosclerosis have morbidity to be high having illness coming on age to be little having gender differences, a plurality of segment take place pathological change, pathological change take place in farther characteristic of carrying etc.. But the speech to that the foot caused by artery hard to getting pathological change is ischemic, it should be a method to consider at first that the surgical blood flow is rebuilt. At present,it is of our country rebuild mainly blood flows surgical including lower extremities bypass transplant, if you can't get involved, treat in lower extremities artery and since transplant body stem cell at artery, the above-mentioned method can be subdivided into the lower extremities and carried the arteriolar bypass and transplanted, punctured shaping skill, shaping skill of the support in of the artery,etc. in the artery by the skin far. The valley fountain thinks, for involving pathological change of main arteries such as the belly aorta, common iliac artery,etc., can choose getting involved or artery bypass transfer operation in of blood vessel. Among them, are greater than 70 years than weak, age as to the physique, and should pay the utmost attention to getting involved and treating with the patient of other diseases; As to pathological change of medium-sized arteries such as the arteria femoralis, �N's artery,etc., besides can be chosen the above-mentioned two waysing, can also choose to transplant from the body stem cell; Arteriolar pathological change, can be selected from the body stem cell and transplanted for the first time for involving shank artery or foot artery,etc..


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