老年人小腿慢性溃疡的修复

Study on treatment of ulcer in leg on the elderly

目的 总结老年人小腿溃疡修复特点。方法 分析了39例老年人小腿溃疡,对发病特点及治疗方式进行探讨。结果 老年人特有的生理、病理特点及小腿的解剖特点决定了创面修复的复杂性。换药是一切治疗的基础,游离植皮是最安全、应用最广泛的手术方法;皮瓣转移适用于有深部组织暴露者;截肢适用于肢体远端高度疑有癌变或已引起全身淀粉样变者。结论 老年人小腿溃疡修复顺序的选择为换药治疗、游离植皮、皮瓣转移、截肢(趾)。

objective To study the repair feature of ulcer in leg on aged patiens. Methods To analyses 39 cases of ulcer in leg on aged and inquired into feature and pattern of repair. Results The physiological and pathological features owed by the aged decided complicity. All treatments were based on changing dressing. Free skin graft was the most safe operation way, and used generally. Skin flap was applied to the patiens of with exposure of deep tissues. Extremity amputation was applied to patiens who had the most possible cancer or diseases that had already caused general amyloidosis. Conclusions The electable repair order of ulcer in leg on aged patiens was from changing dressing, free skin graft, skin flap to extremity amputation.