摘要
Abstract
Objective:To analyses whether diabetes affects the treatment outcome of severed finger replantation. Methods:210 patients(513 amputated fingers)according to their medical history were divided into diabetic group(100 cases with 228 amputated fingers)and non-diabetic group(110 cases with 285 amputated fingers). According to the patients' glycosylated hemoglobin levels, the diabetic group was subdivided into good blood glucose control group(126 amputated fingers)and poor blood glucose control group(102 amputated fingers). All patients received appropriate treatment according to the nature of the injury, and the survival rate after amputated finger replantation was statistically analyzed according to the clinical indications. The survived fingers also underwent functional assessment on a regular basis, the rating was divided into excellent, good, bad, and the rate of excellent and good was statistically analyzed. Results:In 513 amputated fingers, 390 fingers were survived after finger replantation, the survival rate was 76.0%. The survival rate of the good blood glucose control group(81.8%)and the non-diabetic group patients(87.0%)was higher than the poor blood glucose control group(38.2%), the difference was statistically significant(P<0.05). However, the survival rate between the good blood glucose control group and the non-diabetic group, the excellent and good rate of functional assessment between the poor glucose control group and the good blood glucose control group, the postoperative functional assessment between the good blood glucose control group and the non-diabetic group was not statistically significance difference(P>0.05). Conclusion:Diabetes has a great impact on the success of finger replantation surgery, so the control of glycosylated hemoglobin level after surgery is the key to treat this kind of diseases.关键词
糖尿病/手指离断/再植术Key words
Diabetes/Finger amputation/Replantation分类
医药卫生
