Standardised method of surgical treatment of chronic leg ulcers

被引：17

作者：

Bitsch, M ^{[1
]}

Saunte, DM ^{[1
]}

Lohmann, M ^{[1
]}

Holstein, PE ^{[1
]}

Jorgensen, B ^{[1
]}

Gottrup, F ^{[1
]}

机构：

[1] Univ Hosp, Bispebjerg Hosp, Copenhagen Wound Healing Ctr, Copenhagen, Denmark

来源：

SCANDINAVIAN JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY AND HAND SURGERY | 2005年 / 39卷 / 03期

关键词：

leg ulcer; varicose veins; vasculitis; vascular disease; skin grafting; venous surgery; compressing;

D O I：

10.1080/02844310510006196

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Healing and recurrence rates were compared in leg ulcers of different aetiology in 385 patients with 406 chronic leg ulcers. Standard treatment was excision of the ulcer followed by meshed split-skin grafting and correction of superficial venous insufficiency in the area. The median age of the patients was 75 years ( range 16 - 95). After one year 345 patients with 357 leg ulcers were alive. Overall healing rate was 64% ( 227 in 357 legs) after one year. The best results were achieved in traumatic ulcers ( 31 in 36 ulcers) and worst for the arterial ulcers ( 4 in 20 ulcers). Recurrence rate in venous and venous/ ischaemic ulcers was 14% ( 33 in 235 legs) and 8% ( n = 3) in the traumatic ulcers. Vasculitic ulcers tend to recur 59% ( n = 10), but the graft does relieve pain.

引用

页码：162 / 169

页数：8

共 25 条

[11] A new concept of a multidisciplinary wound healing center and a national expert function of wound healing [J].

Gottrup, F ;

Holstein, P ;

Jorgensen, B ;

Lohmann, M ;

Karlsmark, T .

ARCHIVES OF SURGERY, 2001, 136 (07) :765-772

[12] Venous ulcer healing by four-layer compression bandaging is not influenced by the pattern of venous incompetence [J].

Guest, M ;

Smith, JJ ;

Sira, MS ;

Madden, P ;

Greenhalgh, RM ;

Davies, AH .

BRITISH JOURNAL OF SURGERY, 1999, 86 (11) :1437-1440

[13]

HANSSON C, 1995, ACTA DERM-VENEREOL, V75, P24

[14]

JOCHMANN W, 1993, VASA-J VASCULAR DIS, V22, P306

[15] Skin grafts as pharmacological agents: Pre-wounding of the donor site [J].

Kirsner, RS ;

Falanga, V ;

Kerdel, FA ;

Katz, MH ;

Eaglstein, WH .

BRITISH JOURNAL OF DERMATOLOGY, 1996, 135 (02) :292-296

[16] Does the pattern of venous insufficiency influence healing of venous leg ulcers after skin transplantation? [J].

Kjaer, ML ;

Jorgensen, B ;

Karlsmark, T ;

Holstein, P ;

Simonsen, L ;

Gottrup, F .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2003, 25 (06) :562-567

[17]

Laing W, 1992, CHRONIC VENOUS DIS L

[18]

MAYBERRY JC, 1991, SURGERY, V109, P575

[19] Prospective study of safety, patient satisfaction and leg ulcer healing following saphenous and subfascial endoscopic perforator surgery [J].

Nelzén, O .

BRITISH JOURNAL OF SURGERY, 2000, 87 (01) :86-91

[20] The prevalence of chronic lower-limb ulceration has been underestimated: Results of a validated population questionnaire [J].

Nelzen, O ;

Bergqvist, D ;

Lindhagen, A .

BRITISH JOURNAL OF SURGERY, 1996, 83 (02) :255-258

← 1 2 3 →