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首页> 外文期刊>Scandinavian journal of plastic and reconstructive surgery and hand surgery >Standardised method of surgical treatment of chronic leg ulcers.
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Standardised method of surgical treatment of chronic leg ulcers.

机译：标准化手术方法治疗慢性腿部溃疡。

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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.
机译：比较了不同病因的腿溃疡在385例慢性腿溃疡406例中的愈合和复发率。标准治疗方法是先切除溃疡，然后进行网状裂口皮肤移植，然后纠正该区域的浅表静脉功能不全。患者的中位年龄为75岁（范围16-95）。一年后，有345名患者患上了357例腿部溃疡。一年后，总体治愈率为64％（357条腿中的227条）。在创伤性溃疡中取得最好的结果（36个溃疡中的31个），而在动脉溃疡中表现最差的（20个溃疡中的4个）。静脉和静脉/缺血性溃疡的复发率分别为14％（235条腿中的33条）和创伤性溃疡中的8％（n = 3）。血管性溃疡倾向于复发59％（n = 10），但移植物确实可以缓解疼痛。

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