Holstein P, Ellitsgaard N, Sørensen S, Bornefeldt Olsen B, Black E, Ellitsgaard V, Perrild H
Karkirurgisk afd RK, Rigshospitalet, København.
Nord Med. 1996 May;111(5):142-4, 160.
The number of major amputations performed for vascular disease in Bispebjerbx Hospital, Copenhagen, has decreased from 122 to 29 per year during the period 1981 to 1994. In diabetic patients the frequency decreased from 25.5/100,000 to 5.5/100,000, i.e. a reduction of 78 percent, and in non diabetics it decreased from 42.2/100,000 to 14.6/100,000, i.e. a reduction of 65 percent. During the period vascular surgery has become a surgical specialty (1983), bypass to infra-popliteal arteries (from 1988) and graft surveillance by colour duplex scanning (from 1983) has become routine and in 1993 a diabetic foot center was established. Initial experience with a diabetic foot center in a vascular surgery unit is reported.
1981年至1994年期间，哥本哈根比斯佩比约医院因血管疾病进行的大截肢手术数量从每年122例降至29例。糖尿病患者的截肢频率从25.5/10万降至5.5/10万，即降低了78%；非糖尿病患者的截肢频率从42.2/10万降至14.6/10万，即降低了65%。在此期间，血管外科成为一个外科专业领域（1983年），腘动脉以下动脉搭桥术（从1988年开始）以及彩色双功超声扫描进行移植物监测（从1983年开始）已成为常规操作，并且在1993年设立了一个糖尿病足中心。本文报告了血管外科病房中糖尿病足中心的初步经验。
