Ebskov L B
Department of Orthopaedic Surgery, Herlev Hospital, Denmark.
Prosthet Orthot Int. 1992 Dec;16(3):163-7. doi: 10.3109/03093649209164335.
The Danish Amputation Register and the nationwide National Patient Register are presented. Based upon the code numbers in the WHO classification system (ICD), 4 etiology groups i.e. vascular insufficiency, diabetes mellitus, malignant neoplasma and trauma were extracted. The purpose was to analyse the relationship between level of amputation (i.e. foot, below-knee, through-knee, above-knee and hip) and etiology (cause of amputation). The material represents all such amputations in Denmark during the period 1978 to 1989 (n = 25.767). The number of amputations because of vascular insufficiency with and without diabetes mellitus decreased over the period studied. The number of tumour and trauma amputations seemed unchanged. There was a significant reduction in the number of amputations at proximal levels (above-knee) for vascular insufficiency with and without diabetes mellitus and in the trauma group. No such change was found regarding tumour amputations. There was a characteristic pattern in the distribution of level respectively of etiological factors for each etiology group and for each level of amputation.
介绍了丹麦截肢登记册和全国性的国家患者登记册。根据世界卫生组织分类系统（ICD）中的编码数字，提取了4个病因组，即血管功能不全、糖尿病、恶性肿瘤和创伤。目的是分析截肢水平（即足部、膝下、膝部、膝上和髋部）与病因（截肢原因）之间的关系。该资料代表了1978年至1989年期间丹麦所有此类截肢病例（n = 25767）。在研究期间，因血管功能不全伴或不伴糖尿病导致的截肢数量有所下降。肿瘤和创伤截肢的数量似乎没有变化。血管功能不全伴或不伴糖尿病以及创伤组近端水平（膝上）的截肢数量显著减少。肿瘤截肢方面未发现此类变化。每个病因组和每个截肢水平的病因因素在截肢水平分布上都有一个特征模式。
