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Chen Y, Wang Y, Zhang T, Meng C, Li Q, Zhang B, Zhang K, Qin C. Efficacy of Chinese and Western Medical Techniques in Treating Diabetic Foot Ulcers With Necrotizing Fasciitis of the Lower Leg. INT J LOW EXTR WOUND 2024; 23:70-79. [PMID: 36648167 DOI: 10.1177/15347346221150865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
To analyze and evaluate the clinical efficacy of Chinese and Western medical techniques in the treatment of severe diabetic foot ulcers complicated with necrotizing fasciitis of the lower leg and summarize the treatment experience of such patients to identify a new method of limb salvage treatment. A total of 46 patients with severe diabetic foot ulcers and necrotizing fasciitis of the lower leg were treated with such techniques as surgical debridement, bone drilling, open joint fusion, and microskin implantation. Wounds were treated with moisture-exposed burn therapy (a regenerative medical treatment for burns, wounds, and ulcers) and moisture-exposed burn ointment (a traditional Chinese medicine); underlying diseases were also treated effectively. The wound healing time, rate of high amputation, and mortality of these patients were summarized, and the clinical efficacy of such treatments was evaluated. Of the 46 patients enrolled, 38 patients were cured, with a cure rate of 82.61%. The average wound healing time was 130 ± 74.37 days. Two patients underwent high amputations, with an amputation rate of 4.35%, and 4 deaths occurred, with a mortality rate of 8.70%. The combination of Chinese and Western medical techniques in the treatment of severe diabetic foot ulcers complicated with necrotizing fasciitis of the lower leg not only effectively saved patients' lives and promoted wound healing but also greatly reduced the rates of high amputation and disability.
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Affiliation(s)
- Yongchong Chen
- Department of Plastic Burns and Wounds Repair, Beijing Fengtai Hospital of Chinese Medicine (Nanyuan Hospital, Fengtai District, Beijing), Beijing, China
| | - Yunzhu Wang
- Department of Plastic Burns and Wounds Repair, Beijing Fengtai Hospital of Chinese Medicine (Nanyuan Hospital, Fengtai District, Beijing), Beijing, China
| | - TaiAn Zhang
- Department of Plastic Burns and Wounds Repair, Beijing Fengtai Hospital of Chinese Medicine (Nanyuan Hospital, Fengtai District, Beijing), Beijing, China
| | - Chao Meng
- Department of Plastic Burns and Wounds Repair, Beijing Fengtai Hospital of Chinese Medicine (Nanyuan Hospital, Fengtai District, Beijing), Beijing, China
| | - Qing Li
- Department of Plastic Burns and Wounds Repair, Beijing Fengtai Hospital of Chinese Medicine (Nanyuan Hospital, Fengtai District, Beijing), Beijing, China
| | - Bohui Zhang
- Department of Plastic Burns and Wounds Repair, Beijing Fengtai Hospital of Chinese Medicine (Nanyuan Hospital, Fengtai District, Beijing), Beijing, China
| | - Kai Zhang
- Department of Plastic Burns and Wounds Repair, Beijing Fengtai Hospital of Chinese Medicine (Nanyuan Hospital, Fengtai District, Beijing), Beijing, China
| | - Chunfang Qin
- Department of Plastic Burns and Wounds Repair, Beijing Fengtai Hospital of Chinese Medicine (Nanyuan Hospital, Fengtai District, Beijing), Beijing, China
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