糖尿病足截肢(趾)32例临床分析

Clinical analysis of the amputation for diabetic foot in 32 cases

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)。

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.