Outcome after Below-knee Amputation in Patients of Diabetic Foot

糖尿病患膝下截肢術後之追蹤結果

蕭崇聖(Chung-Sheng Hsiao) ； 孫宗伯(Tzong-Bor Sun) ； 李俊達(Jiunn-Tat Lee) ； 簡守信(Sou-Hsin Chien)

《中華民國重建整形外科醫學會雜誌》 7卷1期 (1998/03) Pp. 27-31

https://doi.org/10.7096/JPRSA.199803.0006

摘要

糖尿病是造成下肢截肢最常見的病因，以往的文獻報告指出糖尿病患者在截肢後常合併極高的併發症，包括了同側及對側的再次截肢與死亡等。佛教慈濟綜合醫院六年中共施行了61位糖尿病患者的下肢膝下截肢手術。其中9位患者於術後死亡(16.4%)，13位患者接受再次截肢手術(23.6%)，7位患者接受對側膝下截肢手術(12.7%)， 平均住院天數為41.5天，23位病人在追蹤過程中死亡，計算自截肢到死亡平均為24.1個月。
糖尿病患者接受下肢膝下截肢手術後不但併發症比例高，且必須付出極高的醫療及社會成本，因此治療時應以避免截肢為主要目標，透過不同領域的醫療工作人員團隊合作之下，希望能降低它的發生率。

並列摘要

Diabetes mellitus is the most common underlying cause of leg amputation. Lower leg amputation in diabetic patients is associated with significant morbidity, mortality and disability. From January 1991 to November 1996, there were 61 patients of diabetic foot received below-knee amputations at Buddhist Tzu-Chi General Hospital. Nine died during the pen-operative period, 13 patients received stumps revision due to failure of wound healing (23.6%), and 7 patients received below-knee amputations on another leg. (12.7%) During the period of follow-up, 23 patients died and mean life expectancy after amputation is 24.1 months.
Prevention of amputation is an important goal of treatment in diabetic ptients. A multidisciplinary foot-care team is necessary to retard the disease progress. Combined effort by patients and health professionals may reduce the risk for amputation and thus decrease the manpower and economic cost that accompany limb loss in diabetic patients.

並列關鍵字

diabetic foot ； below-knee amputation ； morbidity ； life expectancy