糖尿病患者的Charcot神经关节病:现在是我们思维模式转变的时候了
Dane K Wukich1, Robert G Frykberg2, Venu Kavarthapu3,4,5
1University of Texas Southwestern Orthopaedic Surgery, Dallas, Texas, USA.
查科特神经骨关节病 (CNO) 是一种严重的糖尿病足并发症. 这一综述建议在CNO的早期进行外科手术,挑战传统的治疗方法,以获得更好的患者结果.
科学领域:
- 整形外科 整形外科 整形外科
- 糖尿病学 糖尿病学
- 足部医学是一门专业.
背景情况:
- 查科特神经骨关节病 (CNO) 是一种使人虚弱的疾病,影响糖尿病患者的脚和脚.
- 美国CNO的真实发病率和流行率尚不清楚,但估计表明有相当大的数字.
- 目前活跃CNO的治疗模式可能已经过时,需要重新评估.
研究的目的:
- 审查关于查科特神经骨关节病 (CNO) 的流行病学和外科治疗的最新文献.
- 建议在活跃的CNO的治疗方法中进行范式转变.
- 倡导在风险糖尿病患者中提前考虑手术.
主要方法:
- 关于CNO流行病学和外科管理的最新研究的综合文献综述.
- 流行病学数据分析和估计美国糖尿病人口的发病率和流行率.
- 对各种癌症和骨损伤中CNO发生率的比较分析.
主要成果:
- 估计美国CNO的发病率为每年27,602例,患病率为208,880人.
- 糖尿病患者中CNO发生率超过了几种主要癌症和常见骨折的发生率.
- 对于骨其他部位的类似损伤,手术管理是标准的.
结论:
- 积极的CNO处理方法的根本变化是合理的.
- 虽然CNO并不常见,但在糖尿病人群中并不罕见.
- 对于有患脚发病风险的CNO患者,应考虑早些时候进行手术.
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