糖尿病夏科关节病变7例的临床特点及分析

Analysis of clinical characteristics of Charcot joint disease in diabetes mellitus: 7 cases report

提要报告7例2型糖尿病夏科关节病变(夏科足)的临床特点,发现该病早期临床表现无特征性,误诊率高。对糖尿病合并周围神经病变的患者,当单侧踝部出现红、肿、胀、痛、骨性突出、皮温增高、动脉搏动增强时要考虑夏科关节病变。限制运动、避免患肢承重、局部支具固定可以缓解或减轻病变的进展。

The clinical characteristics of Charcot joint disease（Charcot foot） were reported in 7 diabetic patients. The early clinical symptoms of this disease were not specific and easy to be misdiagnosed. When the single ankle was red, swollen, hot and with sign of pain, higher skin temperature, bony prominent, and intense artery throbbing, Charcot joint disease should be considered in diabetic patients with peripheral neuropathy. Limiting moving, avoiding loading of limb, and fixed local holder can relieve or reduce the development of Charcot joint disease.