当院における上肢切断例の検討（外傷および腫瘍を除く）

• 土持 兼信

  財団法人平成紫川会社会保険小倉記念病院整形外科

• 多田 弘史

  財団法人平成紫川会社会保険小倉記念病院整形外科

• 松﨑 尚志

  財団法人平成紫川会社会保険小倉記念病院整形外科

• 西島 毅志

  財団法人平成紫川会社会保険小倉記念病院整形外科

書誌事項

タイトル別名

• A Study of Amputation for the Upper Extremity (Excluding Tumor and Trauma)

抄録

Gangrene in patients with hemodialysis or diabetes mellitus usually occurs in the lower extremity, rarely in the upper extremity. We retrospectively reviewed amputation for upper extremity, excluding tumor and trauma. We examined 21 patients who underwent amputation for upper extremity between January 2002 and August 2011. The 21 patients consisted of 15 males and six females with an average age of 64.2 (40-88). Seventeen patients were on hemodialysis (12 patients were diabetic nephropathy), 13 of them underwent amputation for the side of shunt. Clinical characteristic of patients excluding dialysis included diabetic gangrene (1), heparin-induced thrombocytopenia (1), disseminated intravascular coagulation (1), and Sjogren syndrome (1). The last amputation level was shoulder (1), forearm (2), wrist (5), digital (13). Six patients underwent operation several times. Most cases with amputation of the upper extremity on hemodialysis, especially of the side of shunt, were affected by steal syndrome. Progress of hemodialysis technology improved prognosis. Cases of amputation of the upper extremity is increasing.

収録刊行物

• 整形外科と災害外科

  整形外科と災害外科 61 (3), 388-391, 2012

  西日本整形・災害外科学会

キーワード

• 切断
• 上肢
• スチール症候群
• 壊疽

詳細情報

• CRID: 1390282679919218048
• NII論文ID: 10031013055
• NII書誌ID: AN00126582
• DOI: 10.5035/nishiseisai.61.388
• ISSN: 13494333
• ISSN: 00371033
• Web Site: https://search.jamas.or.jp/link/ui/2013025396
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可