Rahman G A, Adigun I A, Fadeyi A
Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Ann Afr Med. 2010 Jan-Mar;9(1):1-4. doi: 10.4103/1596-3519.62615.
Chronic leg ulcer (CLU) is reported to have an impact on virtually all aspects of life. Treatment is expensive and has large economic burden on many countries' health services. This presentation is to determine the impact, etiology, and presentation of CLU as well as the procedures for processing in a Nigeria tertiary care facility.
All patients with CLU seen that were prospectively managed in our hospital between 2004 and 2006 have been included in the study. The data were analyzed by SPSS version 11.0 of software.
Sixty consecutive patients seen over a period of 3 years (2004-2006) were prospectively studied. There were two peak period of age presentation 30-39 and 50-69 years. The male female ratio was 1:1. Most of the patients (93.3%) had unilateral ulcers and it was as common on the right as on the left. Fifty percent of patients had medical disorders. The commonest cause of CLU was poorly managed traumatic wound.
Most patients benefited from debridement with or without split thickness skin graft or flap.
据报道，慢性腿部溃疡（CLU）几乎会对生活的各个方面产生影响。治疗费用高昂，给许多国家的医疗服务带来巨大经济负担。本报告旨在确定CLU在尼日利亚一家三级护理机构中的影响、病因、表现以及处理程序。
纳入2004年至2006年期间在我院接受前瞻性管理的所有CLU患者。数据采用SPSS 11.0软件进行分析。
对连续3年（2004 - 2006年）期间诊治的60例患者进行了前瞻性研究。年龄呈现两个高峰期，分别为30 - 39岁和50 - 69岁。男女比例为1:1。大多数患者（93.3%）为单侧溃疡，左右侧发病情况相同。50%的患者患有内科疾病。CLU最常见的病因是创伤伤口处理不当。
大多数患者通过清创术（无论是否联合中厚皮片移植或皮瓣移植）获益。
