Gebreslassie Berhe, Gebreselassie Kibrom, Esayas Reiye
Orthopedics Unit, College of Health Sciences, Mekelle University.
Department of Surgery, College of Health Sciences, Mekelle University.
Ethiop J Health Sci. 2018 Jan;28(1):31-36. doi: 10.4314/ejhs.v28i1.5.
Amputation is a surgical procedure for the removal of a limb which is indicated when limb recovery is impossible. There are different types of amputation, and their causes can vary from one area to the other. Therefor, the aim of this study is to find out the patterns and causes of amputations in patients presented to Ayder Referral Hospital, Mekelle, Ethiopia.
the record of 87 patients who had amputation at different sites after admission to Ayder referral hospital, Mekelle, Ethiopia in three years period were reviewed retrospectively.
A total of 87 patients had amputation of which 78.2% were males. The age range was from 3 to 95 years, and the mean age was 40.6 in years. The most common indications were trauma (37.7%), tumor (24.1%), and peripheral arterial disease (PAD) (20.7%). The commonest type of amputation was major lower limb amputation (58.6%) which includes above knee amputation (35.6%)and below knee amputation (23%) followed by digital amputation (17.2%). There was 11.4% major upper limb amputation of which there was one patient who had re-amputation.
Most of the indications for amputations in our setup are potentially preventable by increasing awareness in the society on safety measures both at home and at work and early presentation to health facilities.
截肢是一种用于切除肢体的外科手术，当肢体无法恢复时会进行该手术。截肢有不同类型，其原因因地区而异。因此，本研究的目的是找出在埃塞俄比亚默克莱的艾德尔转诊医院就诊的患者中截肢的模式和原因。
回顾性分析了埃塞俄比亚默克莱的艾德尔转诊医院在三年期间收治的87例不同部位截肢患者的记录。
共有87例患者接受了截肢手术，其中78.2%为男性。年龄范围为3至95岁，平均年龄为40.6岁。最常见的指征是创伤（37.7%）、肿瘤（24.1%）和外周动脉疾病（PAD）（20.7%）。最常见的截肢类型是下肢大截肢（58.6%），包括膝上截肢（35.6%）和膝下截肢（23%），其次是手指截肢（17.2%）。有11.4%的上肢大截肢，其中有1例患者进行了再次截肢。
在我们的研究中，大多数截肢指征通过提高社会对家庭和工作场所安全措施的认识以及早期前往医疗机构就诊是有可能预防的。
