在患有糖尿病足的患者中,截肢和节手术后比较临床结果
Ali Yeganeh1, Alireza Kalantar Motamed2, Salar Baghbani3
1Department of Orthopedic Surgery, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Medical journal of the Islamic Republic of Iran
|June 9, 2025
概括
截肢减少了糖尿病足的再的风险,但增加了感染率. 节省脚的手术显示出更高的再,但感染率较低,影响截肢决定.
科学领域:
- 足部外科手术 足部外科手术
- 糖尿病学 糖尿病学
- 伤口护理 伤口护理
背景情况:
- 糖尿病足经常导致下肢截肢,需要专家管理以防止进展.
- 有效的伤口护理和手术干预对于糖尿病患者的肢体挽救至关重要.
研究的目的:
- 为了比较节约脚手术与截肢手术在治疗糖尿病脚的临床有效性.
- 评估这些手术方法对再,进一步的截肢,感染和血糖控制的影响.
主要方法:
- 对54名患有糖尿病和慢性下肢的患者进行了队列研究.
- 患者接受了骨切除,保留了脚或完全截肢.
- 包括再,其他截肢,血红蛋白A1c (HbA1c) 和感染在内的结果被监测了一年.
主要成果:
- 与节约脚手术 (39.1%) (P < 0.001) 相比,脚截肢的复发率 (12.9%) 显著降低 (P < 0.001).
- 在脚截肢组中,进一步截肢的发生率高于 (29.0%) 的脚节省组 (17.4%) (P < 0.001).
- 相反,在节手术组中,感染率明显较低 (P < 0.001).
结论:
- 截肢与同一部位再次的风险降低有关.
- 节省脚的手术可能会导致感染的发病率降低,但复发的发生率更高.
- 截肢和节手术之间的选择涉及在糖尿病足管理中平衡再和感染风险.
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