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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Comparison of Metatarsal Head Resection Versus Conservative Care in Treatment of Neuropathic Diabetic Foot Ulcers
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Comparison of Metatarsal Head Resection Versus Conservative Care in Treatment of Neuropathic Diabetic Foot Ulcers

机译：跖骨头切除与保守护理治疗神经病患者足溃疡的比较

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Complications from diabetic foot ulcers often lead to increased patient morbidity. Much debate still ensues concerning surgical versus conservative management of neuropathic diabetic foot ulcerations. The present study assessed and compared the efficacy of metatarsal head resection and medical approach in the treatment of neuropathic diabetic foot ulcers located at the plantar surface of metatarsal heads. In a retrospective cohort study, 24 consecutive neuropathic diabetic foot ulcers in the lower area of the metatarsal heads that had undergone metatarsal head resection were included as the operative group. For the control group, we included 25 similar ulcers that were scheduled for medical therapy. With respect to postoperative complications, wound healing occurred earlier in the operative group, and the recurrence rate was inversely greater in the medical treatment group. Also, the hospitalization rate was significantly greater in the medical treatment group. Overall, the long-term complication rate was lower in the operative than in the medical treatment group. Also, the infection rate was greater in the medical treatment group than in the operative group. Comparing early and late clinical outcomes of metatarsal head resection surgery and medical treatment showed complete superiority for the surgical approach, and metatarsal head resection is more completely cost beneficial than the medical approach. (C) 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译：糖尿病足溃疡的并发症通常会导致患者发病率增加。关于神经病性糖尿病足溃疡的手术治疗和保守治疗，仍有很多争论。本研究评估和比较了跖骨头切除术和医学方法治疗位于跖骨头足底表面的神经性糖尿病足溃疡的疗效。在一项回顾性队列研究中，手术组包括24例连续发生在跖骨头下部的神经性糖尿病足溃疡。对于对照组，我们纳入了25例计划接受药物治疗的类似溃疡。就术后并发症而言，手术组的伤口愈合较早，而药物治疗组的复发率则相反。此外，药物治疗组的住院率显著高于对照组。总的来说，手术组的长期并发症发生率低于药物治疗组。此外，药物治疗组的感染率高于手术组。比较跖骨头切除手术和药物治疗的早期和晚期临床结果显示，手术方法完全优越，而且跖骨头切除比药物方法更具成本效益。（C） 2016年由美国足踝外科医生学会主办。版权所有。

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