Maitz Emanuel, Binder Barbara
Univ.-Klinik für Orthopädie und Traumatologie, Medizinische Universität Graz, Auenbruggerplatz 5, 8036, Graz, Österreich.
Univ.-Klinik für Dermatologie und Venerologie, Medizinische Universität Graz, Auenbruggerplatz 8, 8036, Graz, Österreich.
Wien Med Wochenschr. 2022 Feb;172(1-2):52-56. doi: 10.1007/s10354-021-00831-z. Epub 2021 Mar 18.
The treatment of chronic wounds is usually a major challenge for the involved medical staff. Various different treatment options have to be tested achieving a satisfactory result. In this retrospective case report, we describe successful treatments with hyaluronan acid ester fleece in six patients with chronic wounds of different origins. Furthermore, all patients received compression bandages or compression stockings, two patients were treated additionally with pressure relief devices and all were debrided if necessary. The chronic wounds of five out of the six patients healed completely over a period of 1.5-11 months or only with a minimal residual defect. However, one patient was still resistant to therapy over five months. In summary, the treatment with hyaluronan esters achieved good results especially in patients with complex medical history that makes a successful therapy particularly difficult.
慢性伤口的治疗通常对相关医护人员来说是一项重大挑战。必须尝试各种不同的治疗方案以取得满意的效果。在这份回顾性病例报告中，我们描述了6例不同病因的慢性伤口患者使用透明质酸酯纤维敷料成功治疗的情况。此外，所有患者均接受了加压绷带或加压弹力袜治疗，2例患者还额外接受了减压装置治疗，所有患者必要时均进行了清创。6例患者中有5例的慢性伤口在1.5至11个月的时间内完全愈合，或仅留下极小的残余缺损。然而，有1例患者在5个月以上的时间里仍对治疗有抵抗。总之，透明质酸酯治疗取得了良好效果，尤其是对于那些病史复杂、成功治疗特别困难的患者。
