Vulliet F, Tschibangu P
Acta Leprol. 1990;7(3):225-8.
Since 1985, we contribute to treat and rehabilitate the leprosy infirmities at Kapolowe District Hospital (Shaba, Zaire). The setting up of a permanent autochtonous Department (Tschibangu), has taken the place of the temporary expeditions. A first follow-up refers to 138 patients, on which 259 interventions have been done: 165 refer to foot ulcerations and theirs septic osteoarticular complications, 75 relate to neuritis, 8 only have been restorative interventions. 75% of our patients have had a good social reinsertion. The 25% relapses show the importance of a good limb prosthesis, of sanitary education of the patients and their supervision when they go back to brushwood. In the initial period, it is necessary to start by performing in cleanliness surgery, otherwise bright restorative interventions would be inefficient.
自1985年以来,我们一直在卡波洛韦区医院(扎伊尔沙巴)致力于麻风病患者的治疗与康复工作。一个常设的当地科室(奇班古)已经取代了临时医疗队。首次随访涉及138名患者,共进行了259次干预治疗:其中165次针对足部溃疡及其化脓性骨关节炎并发症,75次针对神经炎,仅有8次为修复性干预治疗。我们75%的患者实现了良好的社会重新融入。25%的复发率表明了优质假肢、患者健康教育以及患者重返丛林时进行监督的重要性。在初始阶段,必须先进行清洁手术,否则后续的修复性干预治疗将毫无效果。