CAJ | 학술논문

目的评价经皮氧分压（TcPO2）检测在糖尿病足截肢手术中的临床应用价值。方法对68例2型糖尿足截肢手术患者进行回顾性分析。其中32例（A组）运用经皮氧分压检测方法确定氧分压40 mmHg以上的部位为截肢平面，36例（B组）根据术者临床经验判断截肢平面进行截肢手术。将两组患者的切口愈合情况及术后并发症发生情况进行统计分析和比较。结果A组术后切口愈合情况明显优于B组（P＜0.01），截肢术后并发症发生率低于B组（P＜0.01）。结论经皮氧分压检测是一种经济、可靠、重复性好、操作简单、无创性、对选择截肢平面有指导作用的可靠指标。
목적평개경피양분압（TcPO2）검측재당뇨병족절지수술중적림상응용개치。방법대68례2형당뇨족절지수술환자진행회고성분석。기중32례（A조）운용경피양분압검측방법학정양분압40 mmHg이상적부위위절지평면，36례（B조）근거술자림상경험판단절지평면진행절지수술。장량조환자적절구유합정황급술후병발증발생정황진행통계분석화비교。결과A조술후절구유합정황명현우우B조（P＜0.01），절지술후병발증발생솔저우B조（P＜0.01）。결론경피양분압검측시일충경제、가고、중복성호、조작간단、무창성、대선택절지평면유지도작용적가고지표。
Objective To evaluate the application value of transcutaneous oxygen pressure (TcPO2 ) monito-ring in the diabetic foot amputation surgery .Methods Retrospective analysis of 68 type 2 diabetic patients with foot amputations was performed.Thirty-two diabetic foot patients in the trial group (group A) were amputated at the level above of 40 mmHg in TcPO2 ,and was compared with the control group (group B) in which 36 diabetic foot patients were amputated based on clinical experience .Their prognosis were observed and analyzed .Results The postopera-tive wound healing of group A was obviously superior to group B .The amputation complication rate in group A was lower than that in group B.There were significantly difference ( P<0.01).Conclusion TcPO2 measurement is a guide and reliable index to ascertain the level of amputation , with advantages of less cost, reliable result, and repeat-able, simple non-invasive operation.