당뇨병성 족부궤양에 대한 임상적 관찰 및 재발에 대한 위험인자 분석

Abstract

A foot disease ranks among the most feared complications of diabetes, but it has been neglected partly because the pathogenesis is multifactorial and the presentation is complex. The aim of this study is to investigate characteristics of diabetic foot ulcer and risk factors of recurrence. We reviewed the medical records of patients with diabetic foot lesions who were admitted to Keimyung University Dongsan Medical Center from January 2002 to June, 2005 retrospectively. Among 134 patients, 90 (67.2%) were male and 44 (32.8%) were female. Their mean age was 61.2 years and mean duration of diabetes was 14.5 years. The diabetic foot lesions were most frequently found under the toes and definite cause was unknown in 52.2% of all cause. The wound culture for bacteria gave positive results in 79.9% and the most common pathogen was Staphylococcus aureus. Diabetic polyneuropathy was most common in other combined complications. The lesions were improved with conservative treatment in 61.9% of foot lesions. The risk factor for amputation was vasculopathy and risk factors for recurrence were longer diabetic duration over 15 years and smoking. Diabetic foot ulcer is a serious complication of diabetic patient and associated with amputation therapy. To prevent diabetic foot ulcer and its complications, further study in larger group is necessary to elucidate clinical characteristics and risk factors of diabetic foot ulcer.