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頁籤選單縮合
題 名 | Surgical Aspects of Diabetic Foot (A Clinical Study of 164 Patients)=糖尿病足外科治療164例臨床分析 |
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作 者 | 蔡志成; 林幸道; 賴春生; 楊錦江; 周治剛; 蔡經緯; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 3:3 1994.09[民83.09] |
頁 次 | 頁128-135 |
分類號 | 416.41 |
關鍵詞 | 糖尿病足; 外科治療; Diabetic foot; Aggressive surgicol prograw; Reduce amputation rate; |
語 文 | 英文(English) |
中文摘要 | 自1986年開始,六年來一共有164個病人因糖尿病足病症,前來求診,在總共189個糖尿病足患肢中,有50其患部發生在足部的前1/3,20發生在中1/3,30發生在後1/3,在我們的病例中因糖尿病合併其它臟器侵犯的,有42的病人合併有高血壓,有23的病人有心臟方面疾病的症狀,有14的病人有腎臟方面的問題,7的病人有腦血管疾病的症狀,6的病人有眼睛方面的症狀。在所有糖尿病足的病例中,有27的患肢因為發炎,壞疽或為了控制敗血症的發生,須進行緊急的手術治療,其中包括了清創術,小範圍的蹠骨切除及截肢手術,所有患肢中有73的病人可保留足部的行動自由而不須義肢的輔助,然而有27的病人則須進行截肢手術(包括膝關節以下及膝關節以上的截肢手術)。在我們的病人中,大部分(64)都是屬於Wagner分類中第三級以上的患肢,確實的清創術,適當的選擇重建的方法和血管重建手術的應用,對降低截肢的比率來說是很重要的。 |
英文摘要 | One hundred and sixty-four diabetic patients with 189 complicated limbs were enteredinto this study during the past 6 years since 1986. The lesions located 50 in the forefoot,20 in the mid-foot/instep and 30 in the hindfoot area. Some of our patients had systemiccomplications of diabetes. These included 42 with hypertension, 23 with symptomaticheart disease, 14 with nephropathy, 7 with symptomatic cerebrovascular disease and 6with eye involvement. Twenty-seven percent of the patients underwent emergency operationbecause of infection, gangrene or sepsis. The operative procedures included debridement, limited phalangeal amputation and major amputation (below knee or above knee amputation).73 of patients could preserve pedal ambulation, whereas major amputations (below knee,aboveknee) were performed in 27 of patients. Most of our foot lesions (64) were more severe than grade 3 in Wagner's classification.An aggressive program of surgical treatment of diabetic foot problems to reduce the amputation rate, included adequate debridement under the loupes magnification, liberal application offree tissue transfer for would clousure and lower extremities revascularization. |
本系統中英文摘要資訊取自各篇刊載內容。