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As promising cell\u2010free therapeutic agents, exosomes can regulate wound inflammation and accelerate angiogenesis, while their clinical application is restricted by rapid in\u00a0vivo clearance and short wound retention time. Functional hydrogels with excellent biocompatibility and sustained\u2010release performance serve as ideal exosome carriers to construct intelligent composite dressings that break multiple healing barriers. This review summarizes the pathological mechanisms of diabetic wounds, the repair mechanisms of exosomes, and the fabrication strategies of exosome\u2010loaded hydrogels. 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