[关于并发下肢血管病变的糖尿病足溃疡的诊断和手术治疗的全国专家共识(2024 年版)]。

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摘要

糖尿病足溃疡并发下肢血管病变具有发病率高、愈合慢、预后差等特点,如治疗不当,最终可能导致截肢,甚至危及生命。复杂性下肢血管病变的治疗对于改善糖尿病足溃疡的愈合过程至关重要,在临床实践中逐渐受到重视。最近,一些关于糖尿病足溃疡并发下肢血管病变的临床试验得到了报道。为进一步规范糖尿病足并发下肢血管病变的临床诊治,由中国老年医学学会烧伤与创伤分会、中国烧伤学会、中国医师协会伤口修复专业委员会牵头的专家组共同商议,编制了《糖尿病足并发下肢血管病变诊断与手术治疗全国专家共识(2024年版)》。该共识以文献证据为基础,涵盖了糖尿病足并发下肢血管病变的疾病特点、临床诊治循证证据、新技术应用和新的治疗方法。本共识旨在为从业人员筛查、诊断和治疗糖尿病足并发下肢血管病变的最佳方法提供明确指导,希望为从事糖尿病足伤口治疗的医务人员提供规范的临床实践依据。
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[National expert consensus on the diagnosis and surgical treatment of diabetic foot ulcers complicated with lower extremity vasculopathy (2024 version)].

Diabetic foot ulcers complicated with lower extremity vasculopathy possess the characteristics of high incidence, slow healing, and poor prognosis, which may eventually lead to amputation or even life-threatening if not treated properly. The treatment of complicated lower extremity vasculopathy is vital to improve the healing process of diabetic foot ulcers, which has gradually received attention in clinical practice. Recently, a number of clinical trials on diabetic foot ulcers complicated with lower extremity vasculopathy were reported. In order to further standardize the clinical diagnosis and treatment of diabetic foot ulcers complicated with lower extremity vasculopathy, an expert group headed by Burns and Trauma Branch of Chinese Geriatrics Society, Chinese Burn Association, and Wound Repair Professional Committee of Chinese Medical Doctor Association deliberated and compiled the National expert consensus on the diagnosis and surgical treatment of diabetic foot ulcers complicated with lower extremity vasculopathy (2024 version) together. This consensus is based on evidences from the literature, covers the disease characteristics, evidence-based evidence of clinical diagnosis and treatment, as well as the application of new technologies and new treatment approaches of diabetic foot ulcers complicated with lower extremity vasculopathy. The goal of this consensus is to provide clear guidance to practitioners on the best approaches for screening, diagnosing, and treating diabetic foot ulcers complicated with lower extremity vasculopathy in individuals, hoping to provide a normative clinical practice basis for medical staff engaged in the treatment of diabetic foot wounds.

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