伊朗西北部下肢截肢的流行病学与病因学报告
An epidemiological and etiological report on lower extremity amputation in northwest of iran.
作者信息
Rouhani Alireza, Mohajerzadeh Saeid
机构信息
Alireza Rouhani MD, Saeid Mohajerzadeh MD, Department of Orthopedic Surgery School of Medicine, Tabriz University of Medical Sciences Tabriz, Iran.
出版信息
Arch Bone Jt Surg. 2013 Dec;1(2):103-6. Epub 2013 Dec 15.
BACKGROUND
Lower extremity amputation has different etiologies and the purpose of the study was to describe the demographics and etiologies of amputations. This study was designed to evaluate amputations performed in the province of Eastern Azerbaijan (north-west of Iran) and to determine specific causes of amputations associated with geographical and cultural characteristics of the region.
METHODS
We have done this retrospective and descriptive study from June 1st, 2005 to June 1st, 2010 in Tabriz Shohada Hospital (Tabriz, Iran). The patients were evaluated with respect to age, sex, etiology, side and level of amputations, prevalence of amputations among the sexes at different ages and surgical interventions performed.
RESULTS
One-hundred-sixty files were identified with a diagnosis of lower limb amputation. Trauma was the most frequent cause in 67 patients (46%), followed by vascular disease in 61 patients (42%), and then infection in 18 c patients (12%). Eighty percent of patients were male and 20% were female.
CONCLUSION
This investigation shows that trauma (especially due to car accidents) is the most common cause of amputations in our region, followed by vascular problems.
背景
下肢截肢有不同的病因，本研究的目的是描述截肢患者的人口统计学特征和病因。本研究旨在评估在东阿塞拜疆省（伊朗西北部）进行的截肢手术，并确定与该地区地理和文化特征相关的截肢具体原因。
方法
我们于2005年6月1日至2010年6月1日在大不里士烈士医院（伊朗大不里士）开展了这项回顾性描述性研究。对患者的年龄、性别、病因、截肢部位和水平、不同年龄段男女截肢的患病率以及所进行的手术干预进行了评估。
结果
共识别出160份诊断为下肢截肢的病例档案。创伤是最常见的病因，有67例患者（46%），其次是血管疾病，有61例患者（42%），然后是感染，有18例患者（12%）。80%的患者为男性，20%为女性。
结论
本次调查表明，创伤（尤其是交通事故所致）是我们地区截肢最常见的原因，其次是血管问题。
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