糖尿病与各种并发症和生活质量降低有关。在许多并发症中,有些人危及生命。其中,足部并发症仍然是一个重要的问题。主要的足部并发症包括足部溃疡,蜂窝织炎,脓肿,湿性坏疽,干性坏疽,坏死性筋膜炎,每个人背后都有不同的病理生理概念。坏疽的发生是由于身体组织中的血液供应减少导致坏死。这种情况可能是因为受伤,感染,或其他健康状况,主要是糖尿病。坏疽被归类为干燥,湿,和坏疽.在潮湿和气体坏疽的情况下,手术截肢通常是为了防止感染扩散到其他组织。在干性坏疽中,由于存在清晰的分界,在全球某些地区,自动截肢是首选。本综述旨在根据先前的证据和计划分析糖尿病患者的干性坏疽管理模式,以强调干性坏疽的各种管理策略以及不同治疗方法的优缺点,并特别考虑自动截肢。
Diabetes is associated with various complications and reduced quality of life. Of the many complications, some are life-threatening. Among these, foot complications remain an important concern. The major foot complications include foot ulceration, cellulitis, abscess, wet gangrene, dry gangrene, and necrotizing fasciitis, with different pathophysiological concepts behind each of them. Gangrene occurs due to reduced blood supply in the body tissues that leads to necrosis. This condition may arise because of an injury, infection, or other health conditions, majorly diabetes. Gangrene is classified as dry, wet, and gas gangrene. In case of wet and gas gangrene, surgical amputation is usually performed to prevent the spread of infection to other tissues. In dry gangrene, due to the presence of clear demarcation, autoamputation is preferred in certain parts of the globe. The present review aims to analyze the mode of dry gangrene management in diabetic patients based on previous evidence and plans to highlight various management strategies available for dry gangrene and the advantages/disadvantages of different treatments with special consideration to autoamputation.