Novosti
Khirurgii
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indexed in Scopus



Year 2013 Vol. 21 No 2

GENERAL AND SPECIAL SURGERY

DOI: http://dx.doi.org/10.18484/2305-0047.2013.2.69   |  

I.N. IGNATOVICH1 , G.G. KONDRATENKO1 , D.D. NIKULIN2

JUSTIFICATION FOR THE OPTIMAL TREATMENT METHOD OF PATIENTS WITH DIABETIC NEUROISCHEMIC FOOT SYNDROME BASED ON COMPARISON OF LONG-TERM RESULTS OF VARIOUS METHODS APPLICATION

EE Belarusian State Medical University1,
ME Minsk 11th City Clinical Hospital 2,
The Republic of Belarus

Objectives. To justify the optimal treatment method of patients with neuroischemic form of diabetic foot syndrome having compared the long-term results (3 years) of two different application methods: conservative or surgical (the lower limb revascularization).
Methods. The data presented in the article are the completion of the research aimed to determine the optimal treatment method in patients with neuroischemic form of diabetic foot syndrome; intermediate results of this research have been published earlier.
Two groups of patients with neuroischemic form of diabetic foot syndrome were singled out to compare the treatment results: the control group and the comparison group. The patients of the control group (numbering 110) underwent only conservative treatment. The lower limb revascularization has performed to stop the critical ischemia in patients of the comparison group (numbering 48).
Results. During 3 years 65 out of 110 persons died in the control group. In 25 out of 45 staying alive patients (55,6%) we managed to save the supporting function of the foot and avoid the lower limb high amputation. During 3 years 9 out of 48 patients died (18,8%) in the comparison group. In 28 out of 39 staying alive patients (71,8%) we managed to save the supporting function of the foot and avoid the lower limb high amputation. The number of major amputations in the control group was reliably higher than in the comparison group. In the long-term results the number of ulcerous-necrotic lesions of the foot and the patients with the pain syndrome at rest condition was reliably higher in the control group. The parameters of life quality were better in the comparison group.
Conclusions. Revascularization is considered as an optimal and effective method of critical ischemia treatment and saving of the limb supporting function at neuroischemic form of diabetic foot syndrome.

Keywords: diabetic foot syndrome, revascularization, amputation, life qualitys
p. 69 75 of the original issue
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Address for correspondence:
220116, Respublika Belarus', g. Minsk, pr-t. Dzerzhinskogo, d. 83, UO Belorusskii gosudarstvennyi meditsinskii universitet, 1-ia kafedra khirurgicheskikh boleznei,
e-mail: ini67@inbox.ru,
Ignatovich Igor' Nikolaevich
Information about the authors:
Ihnatovich I.N. PhD, associate professor of the 1st chair of surgical diseases of EE Belarusian State Medical University.
Kondratenko G.G. MD, professor, head of the 1st chair of surgical diseases of EE Belarusian State Medical University.
Nikulin D.D. A physician of the surgical department of ME Minsk 11th city clinical hospital.
Contacts | ©Vitebsk State Medical University, 2007