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糖尿病病房的单独脚 necrosis 的床边截肢手术作为手术室的传统截肢的替代品
Florine Féron1, Jean-Philippe Kevorkian1, Jean-Baptiste Julla1
1Department of Diabetes and Endocrinology, Féderation de Diabétologie, Université Paris Cité, Lariboisière Hospital, APHP, 75010, Paris, France.
Diabetes & metabolism
|January 19, 2026
概括
糖尿病足的床边截肢手术 (BAS) 提供与传统手术相似的愈合率. 这种安全高效的方法解决了手术室对糖尿病患者足部护理的限制.
科学领域:
- 糖尿病脚并发症 糖尿病脚并发症
- 手术手术手术手术手术手术手术手术手术手术手术
- 伤口愈合 伤口愈合
背景情况:
- 糖尿病足 (DFU) 常常导致脚消亡,需要截肢.
- 传统的截肢手术 (CAS) 通常在手术室中进行,面临可用性限制.
研究的目的:
- 为了比较脚截肢后6个月的伤口愈合率,用于DFU相关的缩.
- 为了评估床边截肢手术 (BAS) 与传统截肢手术 (CAS).
主要方法:
- 在两个法国糖尿病足单位 (05/2016 - 07/2023) 进行了一项回顾性多中心观察性研究.
- 包括患有糖尿病 (DM) 的患者,因为BAS或CAS的孤立缩而接受脚截肢.
- 主要终点:6个月愈合率 (完全上皮质化,没有复发或二次截肢).
主要成果:
- 在2029名DFU患者中,有189人 (9%) 患有需要截肢的孤立脚亡.
- 在6个月随访的171名患者中,106名 (62%) 接受了BAS.
- 在6个月的治愈率 (BAS 53.8%与CAS 52.3%,P=0.852) 或二次手术率 (BAS 24.5%与CAS 16.9%,P=0.241) 中没有显著差异.
结论:
- 床边截肢手术 (BAS) 是一种安全有效的治疗方法,用于DFU患者的孤立指甲缩.
- 巴斯的伤口愈合速度与传统的截肢手术 (CAS) 相当.
- 这种方法可以帮助在专门的糖尿病足护理中管理手术室的限制.
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