185例皮肤溃疡的回顾性分析  

Retrospective analysis of 185 cases of skin ulcers

作　　者：黄湘秦 陈佳[1] 王少华[1] 彭程[1] 李萍[1] 韩朝飞[1] 张建飞[1] 尹朝奇[1] 周建大[1] 

机构地区：[1]中南大学湘雅三医院整形外科,长沙410013

出　　处：《中国医师杂志》2017年第5期659-663,共5页Journal of Chinese Physician

摘　　要：目的探讨皮肤溃疡的临床特点和治疗方法。方法回顾性分析本院2014年10月至2016年10月诊断为皮肤溃疡的185例患者的临床资料。结果185例皮肤溃疡患者中〉50～70岁的84例（45．4％），糖尿病性溃疡最多见，好发于足踝部位（44．3％）和四肢（35．7％）。经进一步统计分析得出，经手术治疗患者的愈合率明显高于非手术患者，手术术式中以溃疡切除后局部皮瓣转移术最常用并且愈合率最高。溃疡个数、溃疡最大直径、瘢痕溃疡及血运障碍性溃疡是皮肤溃疡治疗结果的独立影响因素。结论皮肤溃疡住院患者更常见于〉50岁患者，好发于下肢，手术疗法是多数溃疡的首选治疗方法，其中以溃疡切除后局部皮瓣转移术效果最佳。对于溃疡患者应积极治疗原发病，加强护理，早期诊断，早期治疗。Objective To explore the clinical features and treatment of skin ulcers. Methods A total of 185 skin ulcer patients with clinical data was analyzed retrospectively in our hospital from October 2014 - October 2016. Results Of the 185 patients with skin ulcers, 84 （45.4%） were 51 -70 years old, diabetic ulcers were most common, and most occurred in ankle （44. 3% ） and limbs （35. 7% ）. After fur- ther statistical analysis, the healing rate of patients treated by surgery was significantly higher than non-sur- gical patients. Surgical procedures of local flap transfer after ulcer resection were most commonly used and of the highest healing rate. The number of ulcers, the largest diameter of ulcers, scar ulcers and blood bar- rier ulcers were four factors that were independent of the outcome of skin ulcers. Conclusions Skin ulcers hospitalized patients are more common in patients over 50 years of age, occur most in the lower limbs. Surgical therapy is the preferred treatment for most ulcers, of which local flap transfer after ulcer resection has the best effect. Ulcer patients should actively treat the primary disease, strengthen the care, early diagno- sis, and early treatment.

关 键 词：皮肤溃疡/诊断/治疗 回顾性研究 

分 类 号：R632.1[医药卫生—外科学]