慢性腿部溃疡的捏皮移植术：对104例患者的169处溃疡进行的回顾性分析
Pinch grafting of chronic leg ulcers: a retrospective analysis of 104 patients with 169 ulcers.
作者信息
Hjerppe A, Sane M, Huhtala H, Vaalasti A
机构信息
Department of Dermatology, Tampere University Hospital and Medical School, University of Tampere, Finland.
出版信息
J Wound Care. 2010 Jan;19(1):37-40. doi: 10.12968/jowc.2010.19.1.46097.
OBJECTIVE
To compare healing rates of inpatients and outpatients with chronic leg ulcers treated with pinch grafting and to define which of these patients would benefit most from the therapy.
METHOD
This retrospective analysis reports the healing rates of 104 patients with 169 ulcers treated with pinch grafting during 1997-2007 at the Department of Dermatology, Tampere University Hospital.
RESULTS
These relate to 17 outpatients with 18 pinch-grafted ulcers and 95 inpatients with 151 ulcers. Nine ulcers (50%) in the outpatient and 95 (62.9%) in the inpatient group healed completely. Median healing times were five and eight weeks for the outpatient and inpatient groups respectively. For the sample as a whole, 61.5% of the ulcers healed.
CONCLUSION
This retrospective study found that pinch grafting is an efficient method of treating chronic leg ulcers, with an overall healing rate over 60%. Patients who complied with compression therapy were most likely to benefit from this therapy.
目的
比较采用点状植皮术治疗的慢性腿部溃疡住院患者和门诊患者的愈合率，并确定哪类患者能从该治疗中获益最多。
方法
这项回顾性分析报告了1997年至2007年期间坦佩雷大学医院皮肤科采用点状植皮术治疗的104例患者的169处溃疡的愈合率。
结果
其中包括17例门诊患者的18处点状植皮溃疡和95例住院患者的151处溃疡。门诊患者组中有9处溃疡（50%）完全愈合，住院患者组中有95处溃疡（62.9%）完全愈合。门诊患者组和住院患者组的中位愈合时间分别为5周和8周。对于整个样本，61.5%的溃疡愈合。
结论
这项回顾性研究发现，点状植皮术是治疗慢性腿部溃疡的有效方法，总体愈合率超过60%。坚持压迫治疗的患者最有可能从该治疗中获益。
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