1型糖尿病并发夏科足一例报告并文献复习.docVIP

·3885 · · 个 案 报 告 · 1 型糖尿病并发夏科足一例报告并文献复习 张景义，孟令宇，吴雪静，庞玉娟，赵沙沙，许颖，汤建中 【摘要】 夏 科 (Charcot) 关节病是指由神经性疾病导致患者关节深部感觉丧失、骨质破坏，从而引起关节结构 异常和功能紊乱的一类疾病。目前，糖尿病已经成为 Charcot 关节病的主要病因之一，其中以 Charcot足最为常见。 Charcot足起病较为隐匿，呈进行性发展，临床症状不典型，易被漏诊和误诊。本文报道了1例1型糖尿病并发Charcot 足患者的临床诊治经过，并对其发病机制、临床特点、分期、诊断及治疗等进行讨论和分析，并结合文献复习，以期 能提高临床医生对该类疾病的认识。 【关键词】 糖尿病，1型；关节病，神经原性；夏科足 【中图分类号】 R587.1 R684 【文献标识码】 D doi:10.3969/j,issn.1007-9572.2015.31.027 张景义，孟令宇，吴雪静，等.1型糖尿病并发夏科足一例报告并文献复习 [J]. 中国全科医学，2015,18 (31):3885-3887.[www.chinagp. net] Zhang JY,Meng LY,Wu XJ, et al. Type 1 diabetes mellitus complicated with Charcot foot: a case report and literature review [J]. Chinese General Practice,2015,18(31):3885-3887. Type 1 Diabetes Mellitus Complicated With Charcot Foot: A Case Report and Literature Review ZHANG Jing - yi, MENG Ling- yu, WU Xue -jing,et al. Department of Endocrinology, Kailuan General Hospital Affiliated to North China University of Science and Technology, Tangshan 063000,China 【Abstract】 Charcot arthropathy is a disease induced by neurologic diseases and causes the loss of feeling and bone destruction in deep joint, which further causes abnormal structure and dysfunction in joints. Currently,diabetes has become one of the main causes of Charcot arthropathy,among which Charcot foot is the most common type. Charcot foot has an insidious onset and shows a progressive development. The clinical manifestations of Charcot foot are untypical, thus missed diagnosis and misdiagnosis always occur. This paper reported the process of diagnosis and treatment of a case of type 1 diabetes complicated with Charcot foot, discussed and analyzed the pathogenesis, clinical features, staging, diagnosis and treatment and made relevant literature review, in order to improve clinical doctorsunderstanding about the disease. 【Key words 】 Diabetes mellitus, type 1; Arthropathy,neurogenic; Charcot foot 夏 科 (Charcot) 关 节 病 又 称 为 Charcot 神 经 骨 关 节 病 (Charcot neuropathic osteoarthropat