CAJ | 학술논문

目的探讨以保全肢体、终止截肢为临床治疗终点的Wagner 3～5级糖尿病足创面的临床处理与治疗规范。方法以102例Wagner 3～5级糖尿病足患者创面采用MEBO＋外科清创术治愈的经验为依据，归纳总结Wagner 3～5级糖尿病足创面的临床处理与治疗规范。结果从102例Wagner 3～5级糖尿病足创面获得治愈的临床证据充分表明， MEBO＋外科清创术对Wagner 3～5级糖尿病足创面的治疗效果显著。结论 MEBO＋外科清创术能实现患肢保全、终止截肢的临床治疗终点，可作为Wagner 3～5级糖尿病足创面的临床处理与治疗规范。
목적탐토이보전지체、종지절지위림상치료종점적Wagner 3～5급당뇨병족창면적림상처리여치료규범。방법이102례Wagner 3～5급당뇨병족환자창면채용MEBO＋외과청창술치유적경험위의거，귀납총결Wagner 3～5급당뇨병족창면적림상처리여치료규범。결과종102례Wagner 3～5급당뇨병족창면획득치유적림상증거충분표명， MEBO＋외과청창술대Wagner 3～5급당뇨병족창면적치료효과현저。결론 MEBO＋외과청창술능실현환지보전、종지절지적림상치료종점，가작위Wagner 3～5급당뇨병족창면적림상처리여치료규범。
Objective To investigate the standards of clinical management and treatment of Wagner 3-5 diabetic foot wounds with limb salvation and terminating amputation as the end points. Methods Based on the experience of healing 102 patients with Wagner 3-5 diabetic foot wounds by using MEBO in combination with surgical debridement, summarize the standards of clinical management and treatment of Wagner 3-5 diabetic foot wounds. Results The clinical evidence from the healed 102 cases with Wagner 3-5 diabetic foot wounds has sufficiently demonstrated that significant therapeutic effects can be achieved when MEBO in combination with surgical debridement is applied to treat Wagner 3-5 diabetic foot wounds. Conclusion MEBO in combination with surgical debridement can be the standard of managing and treating Wag?ner 3-5 diabetic foot wounds in clinic with its strength of limb salvation and terminating amputation.