Some aspects to diagnosis and treatment of diabetic foot syndrome
DOI:
https://doi.org/10.11603/2414-4533.2019.4.10712Keywords:
diabetic foot syndrome, operating treatment, diabetesAbstract
The aim of the work: evaluation of the diagnostic and therapeutic value of predictors of diabetic foot syndrome in patients with type 2 diabetes.
Materials and Methods. There was an analysis of diagnostic features and complex surgical treatment of 142 patients, operated in Lviv Centre of Diabetic foot in 2017–2018, who had 156 operative intervention rather insular diabetes complicated by purulently-necrotic stinging of foot. The average patients age (56.2±11.5) years, 61.2 % of them – men. The mild form of disease was in 33.1 %, moderate severity – in 45.3 %, severe – in 21.6 %. The duration of disease was (12.1±4.4) years. All patients had deep lesions of foot (III-IV according to Wagner). Ischemic form of diabetic foot was in 25.1 %, mixed form – in 33.4 % and neuropatic – in 41.5 %.
Results and Discussion. In order to improve the tactics and results of surgical treatment of necrotic injuries of the foot, we considered the value of the ankle-brachial index and endothelin-dependent vasodilation of the brachial artery, as the main diagnostic and prognostic markers of the occlusive arterial lesion in the feet.
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