Bello Y M, Phillips T J
Department of Dermatology, Boston University, Boston, Massachusetts 02118, USA.
J Cutan Med Surg. 1998 Dec;3 Suppl 1:S1-6-12.
Venous ulcers are the most important cause of leg ulcers in the Western world. Traditionally, it was thought that venous ulcers accounted for approximately 80 to 90% of cases of leg ulceration.1 However, the association of venous and arterial disease has increased, probably related to improvement in diagnostic techniques, as well as aging of the population. Current data from a cross-sectional survey in a Swedish population reported that 54% of ulcers were purely venous in etiology, giving a prevalence of 0.16%. In an Australian population of 238,000 screened for chronic ulcers, venous abnormalities were found in 57%, with a prevalence of 0.06% in the population. The prevalence of chronic venous ulcers increased progressively with age, but there was no significant difference between men and women at any age.
在西方世界，静脉性溃疡是腿部溃疡最重要的病因。传统上认为，静脉性溃疡约占腿部溃疡病例的80%至90%。然而，静脉疾病与动脉疾病的关联有所增加，这可能与诊断技术的改进以及人口老龄化有关。瑞典人群横断面调查的当前数据显示，54%的溃疡病因纯为静脉性，患病率为0.16%。在对23.8万澳大利亚人进行慢性溃疡筛查时，发现57%存在静脉异常，人群患病率为0.06%。慢性静脉性溃疡的患病率随年龄增长而逐渐增加，但在任何年龄，男性和女性之间均无显著差异。
