Abstract. Abstract. In the world of last decades of the 20th century and at the beginning of the 21st century, specialists in the treatment of patients with diabetes (DM) pay attention to the diabetic foot syndrome (DFS) with critical ischemia of the lower extremities and diabetes and its complications combine "pathological processes of the microcirculatory, peripheral nervous systems, bone and articular apparatus of the foot, which pose a direct threat or development of ulcerative necrotic processes and gangrene of the foot. According to some epidemiological studies, the incidence of "peripheral artery disease (PAD) in patients with diabetes is from 10 to 40%, and in the presence of foot ulcers reaches 50%". In Uzbekistan, CINC was diagnosed in more than one hundred thousand people. Vascular atherosclerosis is the cause of chronic lower limb ischemia (CLLI) in 80-90% of cases. Especially often this pathology is observed in people over 60 years of age.
References:
1. Balabolkin M.I. and other Pathogenesis of angiopathy in diabetes mellitus // Sakh. diabetic 1999 No. 2. pp.14-18.
2. Pokrovsky A.V., Dan V.P., Chupin A.V. and others. Reconstructive operations on the arteries of the tibia-foot segment in critical ischemia // Bulletin of the A.N. 2005(6). - No. 5. -p.114.
3. Saveliev V.C., Koshkin V.M., Karalkin A.V., Tarkovsky A.A. Critical ischemia of the lower extremities: definitions of the concept and hemodynamic characteristics // Agiol. and vessel, surgery. 1996. No. 3. pp. 84-90.
4. Safoev B.B., Nazarov J.R., Boltaev T.Sh., Khamroev Sh.M. The result of traditional treatment of diabetic foot syndrome in patients with critical ischemia of the lower extremities // New day in medicine. Bukhara. - 2022, - No. 6 (44). – P. 167-173 Koshkin
5. V.M., Stoyko Yu.M. Strategy and tactics of conservative therapy of patients with chronic obliterating diseases of the arteries of the lower extremities //Angiol. and vessel, hir. 2005. V.11, No. 1.S. 132-5.
6. Adam, D.J. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multi-centre, randomized controlled trial [Text] / D.J. Adam, J.D. Beard, T. Cleveland [et al.] // Lancet. - 2005. - No. 366. - P. 1925–1934.
7. Lipsky, B.A. Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections [Text] / B.A. Lipsky, A.R. Berendt, P.B. Cornia [et al.] // Clin Infect Dis. – 2012
8. Papanas N., Maltezos E. The diabetic foot: a global threat and a huge challenge for Greece // Hippokratia. - 2009. - Vol.13, № 4. - P. 199-204.
9. Pham H., Armstrong D.G., Harvey C., Harkless L.B., Giurini J.M., Veves A. Screening techniques to identify people at high risk for diabetic foot ulceration: a prospective multicenter trial // Diabetes Care. -2000. -Vol.23. -P. 606-611.
10. Safoyev B. B., Rakhimov A.Ya., Boltayev T. Sh., Sharopova M. S. Situation of the problems of diagnosis and treatment of the syndrome of diabetic foot in modern surgery // New Day in Medicine. – 2018. - №1 (21). – С. 48-55.
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