Goodman J, Bessman A N, Teget B, Wagner W
Surg Gynecol Obstet. 1976 Oct;143(4):587-91.
One hundred and seventy-two diabetic patients undergoing local operations of the foot distal to the ankle joint were reviewed to explore the preoperative prognostic indicators of operative failure. Severity of infection, as measured by preoperative temperature and white blood count, correlated with that of failure. Subcutaneous gas, as seen roentgenographically, was associated with failure in five of six patients. No particular operation or type of wound and no general or specific medical or laboratory parameter correlated with failure. In the four and one-half years of the study, an improved operative success rate could only be correlated with improved preoperative management of infection, as reflected in a declining yearly preoperative white blood count and temperature. Delay of the operation until maximum medical control of the infection has occurred should improve the initial success rate in these patients.
回顾了172例接受踝关节远端足部局部手术的糖尿病患者，以探究手术失败的术前预后指标。术前体温和白细胞计数所衡量的感染严重程度与手术失败相关。X线检查所见的皮下气肿，在6例患者中有5例与手术失败有关。没有特定的手术或伤口类型，也没有一般或特定的医学或实验室参数与手术失败相关。在该研究的四年半时间里，手术成功率的提高仅与术前感染管理的改善相关，表现为术前白细胞计数和体温逐年下降。将手术推迟到感染得到最大程度的医学控制后进行，应该会提高这些患者的初始成功率。
