外科手术后联用超声清创机治疗下肢慢性静脉性溃疡的经验  

Surgery combined with ultrasonic debridement machine for the treatment of chronic venous ulcer in lower extremities

作　　者：刘金玲[1] 林少芒[1] 李强[1] 

机构地区：[1]广州医科大学附属第二医院血管外科,广州510260

出　　处：《中国血管外科杂志（电子版）》2014年第2期114-115,117,共3页Chinese Journal of Vascular Surgery(Electronic Version)

基　　金：广东省医学科研基金(A2012254)

摘　　要：目的总结外科手术后联用超声清创机治疗下肢慢性静脉性溃疡的经验。方法 97例(116条患肢)下肢静脉性溃疡患者,在针对不同病因采取相应的外科治疗手段后,再联用超声清创机对静脉溃疡作进一步处理,溃疡创面坏死组织多者,冲洗1次/天,溃疡创面坏死组织少者,冲洗1次/2～3天。结果 116条患肢溃疡均愈合,愈合率为100%,111条患肢在术后10～65天愈合,其余5条患肢(深静脉功能不全2条,深静脉血栓形成后遗症3条)术后3个月经植皮后溃疡愈合。门诊随访6～30个月,均未发现局部溃疡复发。结论外科手术后联用超声清创机治疗下肢慢性静脉性溃疡,疗效可靠,值得临床广泛推广和应用。Objective To investigate the clinical efficacy of surgery combined with ultrasonic debridement machine for the treatment of chronic venous ulcer in lower extremities. Methods From June 2009 to December 2010, clinical data of 97 patients with chronic venous ulcer of lower extremities, who were treated by ultrasonic debridement machine and surgical operation, were analyzed retrospectively. Results The curative rate of ulcer in 97 patients(116 limbs) was 100%. 111 limbs healed from 10 to 65 days after surgery. The other 5 limbs( 2 deep venous insufficiency and 3 post-thrombotic syndrome) healed in 3 months after skin grafting. During the follow-up of 6 to 30 months, no local ulcers occurred. Conclusions The outcome of surgery combined with ultrasonic debridement machine for the treatment of chronic venous ulcer in lower extremities is satisfied. This treatment can be applied.

关 键 词：慢性静脉功能不全 静脉性溃疡 外科手术 超声清创机 

分 类 号：R654.4[医药卫生—外科学]