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中华神经创伤外科电子杂志 ›› 2025, Vol. 11 ›› Issue (04) : 205 -209. doi: 10.3877/cma.j.issn.2095-9141.2025.04.001

述评

糖尿病足的神经外科治疗策略
张黎()   
  1. 100029 北京,中日友好医院神经外科
  • 收稿日期:2024-12-28 出版日期:2025-08-15
  • 通信作者: 张黎

Neurosurgical therapeutic strategies for diabetic foot

Li Zhang()   

  1. Department of Neurosurgery, China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2024-12-28 Published:2025-08-15
  • Corresponding author: Li Zhang
  • Supported by:
    National Key R&D Program of China(2022YFC2402500); National Natural Seienee Foundation of China(81973628, 32471035); Beijing Natural Science Foundation-Changping Innovation Joint Fund Project(L244029); Beijing Natural Science Foundation-Haidian Original Innovation Joint Fund Project(L222034, L232035); National High Level Hospital Clinical Researeh Funding(2022-NHLHCRF-YS-05)
引用本文:

张黎. 糖尿病足的神经外科治疗策略[J/OL]. 中华神经创伤外科电子杂志, 2025, 11(04): 205-209.

Li Zhang. Neurosurgical therapeutic strategies for diabetic foot[J/OL]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2025, 11(04): 205-209.

糖尿病足是糖尿病并发下肢神经与血管损害所致的足部溃疡及深层组织破坏,给患者的健康及生活质量带来沉重负担。传统内科治疗侧重于调控代谢和改善血流,对以糖尿病周围神经病变为核心的顽固性溃疡治疗有限,因此需要外科干预。神经外科技术通过解除神经卡压、脊髓电刺激镇痛与改善微循环、综合创面修复等策略,为不同病因的糖尿病足提供个体化治疗方案。本文围绕糖尿病足的临床分型、鉴别要点及神经外科治疗原则进行述评,强调多学科协作与神经调控技术应用的重要性,旨在为优化糖尿病足综合救治方案提供参考。

Diabetic foot ulceration and deep tissue destruction result from concurrent lower-limb neurological and vascular damage in patients with diabetes mellitus, imposing a substantial burden on health and quality of life. Conventional medical strategies that focus on metabolic control and hemodynamic improvement offer limited benefit for refractory ulcers dominated by diabetic peripheral neuropathy, making surgical intervention essential. Neurosurgical techniques provide an individualized approach for different pathogenic subtypes through decompression of entrapped nerves, spinal cord stimulation for analgesia and microcirculatory enhancement, and comprehensive wound care. This review summarizes current clinical classification, differential diagnostic considerations, and neurosurgical treatment principles, emphasizing the value of multidisciplinary collaboration and neuromodulation technology in optimizing integrated management of diabetic foot.

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