摘要
在严重下肢缺血的人群中, Fontaine 和Rutherford 系统可以对截肢风险和患者血管重建的必要性进行系统分型, 但这并不包含糖尿病患者.然而, 随着糖尿病发病率的上升与血管重建技术的发展, 研究者们发现利用现存分型系统评估高危肢体的预后与结局, 尤其是糖尿病患者, 变得愈发困难.因此美国血管外科协会制定了一个全新的分型系统, 考虑了创面、缺血及足部感染3 个主要因素, 用于评估截肢风险及临床治疗效果.本文回顾了该分型系统的重点释义内容及其在糖尿病足的评估与治疗预后中的临床应用.
The Fontaine and Rutherford Systems have been used to classify the risk of amputation and to recognize the need for revascularization in patients with critical limb ischemia,but they do not cover diabetic foot.With the increasing incidence of dia-betes and advances in revascularization,the researchers found it increasingly difficult to evaluate the prognosis and outcomes of lower extremity threatened limb using the exiting classification system,especially in diabetic patients.Therefore,the Society for Vascular Surgery developed a classification system based on wound,ischemia and foot infection(SVS WIfI)to assess the risk of amputation and therapeutic effect.The present paper interprets the key points of this new system and its application in diabetic foot.
作者
马韧石
刘凯
王蕾
陈光
赵文光
Ma Renshi;Liu Kai;Wang Lei;Chen Guang;Zhao Wenguang(Department of Vascular Surgery,the First Hospital,Jilin University,Changchun 130000,China)
出处
《国际老年医学杂志》
2019年第5期311-317,共7页
International Journal of Geriatrics
