Audoin J, Romanet J P, Rusterholtz B
Med Trop (Mars). 1986 Jul-Sep;46(3):283-92.
The authors treated 160 cases of African mycetoma in Mauritania and then in Niger from september 1978 to june 1985. They here underline some guidance in the application of the utilizable surgical techniques, according to environment. The localizations met are described as well as criteria of diagnosis, pathological aspects, and responsible agents. It is important to scrutinize the extension of the lesions, and to carry out a socio-economic survey, prior to take any decision to operate. After a short commentary on the medical treatment, the authors recalled the classical surgical techniques. They explicit the criteria they selected to decide the type of intervention, along their serie. If surgery has still a preponderant position in the treatment of African mycetoma, hopes are in the discovery of a more efficient medical therapy, and the early diagnosis leading to a limited surgical therapy.
1978年9月至1985年6月，作者在毛里塔尼亚和尼日尔对160例非洲足菌肿患者进行了治疗。他们在此强调了根据环境情况应用可行手术技术的一些指导原则。文中描述了所遇到的病变部位、诊断标准、病理特征以及致病因子。在决定是否进行手术之前，仔细检查病变的范围并开展社会经济调查非常重要。在对药物治疗进行简短评论后，作者回顾了经典的手术技术。他们阐明了在其系列研究中选择决定干预类型的标准。如果手术在非洲足菌肿的治疗中仍占据主导地位，那么希望在于发现更有效的药物治疗方法以及早期诊断从而实现有限的手术治疗。
