Eneroth M, Persson B M
Department of Orthopaedics, Helsingborg Hospital, Sweden.
Int Orthop. 1992;16(4):383-7. doi: 10.1007/BF00189624.
All major amputations of the lower limb due to occlusive arterial disease were studied prospectively and consecutively during one year in the 5 hospitals in Malmöhus county, Sweden. The patients were followed for 6 months after the primary amputation of which 136 were through the tibia, 6 through the knee and 35 through the femur. One hundred and seventy-seven patients (92 men and 85 women) were included; 49% were 80 years or older and 40% were diabetic. At 6 months, 85 of the surviving 109 patients had healed stumps, 10 were not healed and 14 had been revised or reamputated. Half the survivors used a prosthesis daily. There was no significant difference in healing related to sex, age, diabetes or the level of amputation, but diabetics were more often bilateral amputees. The mortality at 6 months was 38% and at 4 years 72%.
在瑞典马尔默胡斯郡的5家医院，对因闭塞性动脉疾病导致的所有下肢大截肢手术进行了为期一年的前瞻性连续研究。在初次截肢后对患者进行了6个月的随访，其中136例为经胫骨截肢，6例为经膝关节截肢，35例为经股骨截肢。共纳入177例患者（92例男性和85例女性）；49%的患者年龄在80岁及以上，40%的患者患有糖尿病。6个月时，109例存活患者中有85例残端愈合，10例未愈合，14例进行了修正或再次截肢。一半的幸存者每天使用假肢。在愈合情况方面，性别、年龄、糖尿病或截肢水平之间无显著差异，但糖尿病患者更常为双侧截肢。6个月时的死亡率为38%，4年时为72%。
