Department of Dermatology & Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
Dermatol Ther. 2013 May-Jun;26(3):187-96. doi: 10.1111/dth.12051.
Chronic lower extremity ulcers are a significant burden on patients and health care systems worldwide. Although relatively common, these wounds can be difficult to treat and present a challenge to physicians. Treatment has often been based on anecdotal accounts; however, there is a growing emphasis on using evidence-based conclusions to guide clinical decisions. In this review article, the standard of care and adjuvant therapies of venous leg ulcers and diabetic foot ulcers are presented from an evidence-based perspective.
慢性下肢溃疡给全球的患者和医疗系统带来了巨大的负担。尽管这些伤口较为常见,但治疗起来可能颇具难度,也对医生提出了挑战。以往的治疗往往基于传闻证据;但如今,人们越来越强调使用循证结论来指导临床决策。在这篇综述文章中,从循证角度呈现了静脉性下肢溃疡和糖尿病足溃疡的标准治疗方法和辅助疗法。