PRESSURE (DECUBITUS) ULCER - VARIATION IN HISTOPATHOLOGY - A LIGHT AND ELECTRON-MICROSCOPE STUDY

被引:39
作者
VANDEBERG, JS
RUDOLPH, R
机构
[1] UNIV CALIF SAN DIEGO,DIV PLAST SURG,SAN DIEGO,CA 92103
[2] SCRIPPS CLIN & RES FDN,LA JOLLA,CA 92037
关键词
PRESSURE (DECUBITUS) ULCER; MORPHOLOGICAL CLASSIFICATION; LIGHT AND ELECTRON MICROSCOPY;
D O I
10.1016/0046-8177(95)90037-3
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
The histopathology of pressure (decubitus) ulcers from 20 patients was examined by light and electron microscopy. Surgical biopsy specimens from the ulcer edge, ulcer margin, and adjacent normal, nonulcerated skin showed four general types of ulcer histopathology. Morphological features common to all ulcer groups were a dense fibrin matrix, occluded blood vessels, numerous inflammatory cells, and a range of cellular viability from functionally normal appearing cells to cells in all stages of necrosis. These data present structural reference points for comparing pressure ulcer pathology and evaluating the effects of growth factors on wound healing. Copyright (C) 1995 by W.B. Saunders Company
引用
收藏
页码:195 / 200
页数:6
相关论文
共 13 条
[1]  
BROUSE NL, 1982, LANCET, V2, P243
[2]  
DINSDALE SM, 1973, ARCH PHYS MED REHAB, V54, P51
[3]  
HERRICK SE, 1992, AM J PATHOL, V121, P1085
[4]  
IDELL S, 1992, AM J PHYSIOL, pL487
[5]   A SYNTHESIS OF THE FACTORS THAT CONTRIBUTE TO PRESSURE SORE FORMATION [J].
KROUSKOP, TA .
MEDICAL HYPOTHESES, 1983, 11 (02) :255-267
[6]   INDUCTION OF FIBROBLAST CHEMOTAXIS BY FIBRONECTIN - LOCALIZATION OF THE CHEMOTACTIC REGION TO A 140,000-MOLECULAR WEIGHT NON-GELATIN-BINDING FRAGMENT [J].
POSTLETHWAITE, AE ;
KESKIOJA, J ;
BALIAN, G ;
KANG, AH .
JOURNAL OF EXPERIMENTAL MEDICINE, 1981, 153 (02) :494-499
[7]  
RYAN TJ, 1971, BRIT J DERMATOL, V84, P501
[8]  
SEILER WO, 1986, GERIATRICS, V41, P47
[9]  
SHEA JD, 1975, CLIN ORTHOPAEDICS, V12, P89
[10]  
SITRIN RG, 1983, AM REV RESPIR DIS, V128, P282