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目的探讨糖尿病合并皮肤溃疡较为有效的治疗方法。方法对近5年来收治的36例糖尿病合并皮肤溃疡患者采用在内科综合治疗的基础上,局部应用八湿膏及碱性成纤维细胞生长因子,并选择适当时机采取以植皮为主的手术修复。结果经内科综合治疗与局部创面处理后,自愈13例;手术23例,其中植皮14例均成功,截趾及局部皮瓣修复各有1例皮肤部分坏死,二期植皮成活。结论糖尿病合并皮肤溃疡经内科综合治疗并应用八湿膏及碱性成纤维细胞生长因子换药,创面可自愈或接受手术,手术以植皮修复效果为佳,部分患者避免了截肢,值得临床推广。
Objective To investigate the more effective treatment of diabetic patients with skin ulcer. Methods 36 patients with diabetes mellitus and skin ulcer admitted in the past 5 years were treated with the combination of internal medicine and topical application of Baituao and bFGF and the appropriate time to take the skin graft-based surgical repair. Results After internal medicine treatment and local wound treatment, 13 cases were self-healing. Twenty-three cases were performed skin grafting, of which 14 cases were successful skin grafting. One case of skin partial necrosis and one case of skin grafting survived. Conclusions Diabetic patients with skin ulcer were treated by internal medicine and treated with eight wet plasters and basic fibroblast growth factor dressing. The wounds could be self-healing or underwent surgery. The skin graft repaired by surgery was better, and some patients avoided amputation and deserved clinical promotion .