摘要
目的 一期手术治疗下肢静脉曲张并发小腿慢性溃疡的回顾性临床分析。方法 1990年 9月～1998年 6月对 5 1例下肢静脉曲张并发小腿慢性溃疡一期施行大、小隐静脉高位结扎、剥脱和即刻溃疡创面清创、游离皮片植皮术。结果 5 1例术后移植皮片全部成活 5 0例 ,1例移植皮片部分坏死 ,经换药愈合。 42例获得 16个月～ 9年 (平均 6 6个月 )随访 ,39例下肢静脉曲张和溃疡未复发 ,湿疹痊愈 ,疗效满意 ;3例溃疡复发 ,但未见下肢静脉曲张复发。结论 一期施行下肢曲张静脉高位结扎、剥脱和即刻溃疡创面清创、游离皮片植皮术 。
Objective Retrospective clinical analysis of primary surgical operation in the treatment of lower limb accompanied by chronic leg ulcer were adopted in this study. Methods\ From September 1990 to June 1998, there were 31 males and 20 females, aged 68 years in average,the area of ulcer varied from 5 cm×3 cm to 22 cm× 11 cm. The ligation and strip of saphenous vein, debridement and free skin flap grafting were finished in primary operation. Results The skin flaps were survived completely in 50 cases, only 1 case was necrosis partially and healed after changing dressing. Forty two cases were followed up for 16 months to 9 years(66 months in average), the varicosis and ulcer were healed in 39 cases and only 3 relapsed in ulceration.Conclusion Primary surgical operation in the treatment of varicosis of lower limb accompanied by chronic ulcer is practicable in clinic. The curative efficacy is satisfactory and the operative manipulation is simple.
出处
《中国修复重建外科杂志》
CAS
CSCD
2000年第4期230-231,共2页
Chinese Journal of Reparative and Reconstructive Surgery
