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糖尿病足截肢(趾)32例临床分析

Hits: 1879 Download times: 1325 Received:December 26, 2007

作者	Author	单位	Unit	E-Mail
赵波	ZHAO Bo	西安交通大学第二医院骨二科，陕西西安 710004	The Second Department of Orthopaedics,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,Shaanxi,China
贺西京	HE Xi-jing	西安交通大学第二医院骨二科，陕西西安 710004	The Second Department of Orthopaedics,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,Shaanxi,China	xijing_he@tom.com
李晟	LI Cheng	陕西中医学院病理教研室

期刊信息：《中国骨伤》2008年21卷，第7期，第546-547页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的：分析需截肢(趾)的糖尿病足患者的临床规律，对围手术期遇到的问题进行分析并提出一些解决方法。

方法：32例糖尿病足截肢(趾)患者均为单侧截肢(趾),其中男25例，女7例；年龄51～78岁，平均65.1岁。23例行1次截肢(趾)手术，8例行2次截肢(趾)手术，1例行3次截肢(趾)手术。

结果：随访时间6个月～1年，平均8个月。32例患者中2例术后感染，放弃治疗出院，其余30例最终伤口愈合，疼痛消失，能进行日常生活及工作。

结论：糖尿病足重在预防和积极治疗，对难以控制的感染，必要时应选择适当的、正确的截肢(趾).

[关键词]:糖尿病足截肢，残端回顾性研究

Clinical analysis of the amputation for diabetic foot in 32 cases

Abstract:

Objective: To investigate the clinical rules of amputation for diabetic foot and analyse the perioperative problems.

Methods: Thirty-two patients with diabetic foot included 25 male and 7 female with an average age of 65.1 years,ranging from 51 to 78 years. All of them had amputation on single side. Among them,23 patients underwent amputation once,8 patients had twice,1 patient had three times

Results: The patients were followed-up for 6 months to 1 year(average 8 months). Two cases complicated with postoperative infection and gave up therapy,the other 30 cases gained wound healing finally and pain relief,recovery to normal life and work.

Conclusion: Prevention and active treatment is the key for the diabetic foot. For the refractory infection the proper and correct amputation is necessary.

KEYWORDS:Diabetic foot Amputation,stumps Retrospective studies

引用本文，请按以下格式著录参考文献：

中文格式:	赵波,贺西京,李晟.糖尿病足截肢(趾)32例临床分析[J].中国骨伤,2008,21(7):546~547
英文格式:	ZHAO Bo,HE Xi-jing,LI Cheng.Clinical analysis of the amputation for diabetic foot in 32 cases[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(7):546~547

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