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患有营养不良性软组织钙化患者的不愈合静脉溃疡。

Nonhealing venous ulcer in a patient with dystrophic soft tissue calcification.

作者信息

Nasif Abdullah, Bauer Karen, Pasadyn Vanessa, Ahmed Ayman, Nazzal Munier, Osman Mohamed

机构信息

Division of Vascular Surgery, Department of Surgery, University of Toledo Medical Center, Toledo, OH.

College of Medicine and Life Sciences, The University of Toledo, Toledo, OH.

出版信息

J Vasc Surg Cases Innov Tech. 2022 Mar 4;8(2):164-166. doi: 10.1016/j.jvscit.2022.02.001. eCollection 2022 Jun.

DOI:10.1016/j.jvscit.2022.02.001
PMID:35391995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8980554/
Abstract

Venous leg ulcers (VLUs) are lesions of the skin found in regions of venous hypertension. VLUs that fail to heal can become chronic, especially because of calcified deposits in the bed of the ulcer. The unclear mechanism behind the cause of calcification poses a challenge when approaching diagnosis and management. In the present report, we discuss the case of a 58-year-old woman who had presented with a chronic VLU that was resistant to healing despite numerous interventions. During a 3-year period, a multidisciplinary team was involved to provide medical and surgical care. Eventually, she was found to have dystrophic calcification of the VLU.

摘要

下肢静脉溃疡(VLUs)是在静脉高压区域发现的皮肤病变。未能愈合的下肢静脉溃疡可能会变成慢性溃疡,尤其是由于溃疡底部存在钙化沉积物。钙化原因背后的机制尚不清楚,这给诊断和治疗带来了挑战。在本报告中,我们讨论了一名58岁女性的病例,她患有慢性下肢静脉溃疡,尽管进行了多次干预,但仍难以愈合。在3年的时间里,一个多学科团队参与提供医疗和手术护理。最终,发现她的下肢静脉溃疡存在营养不良性钙化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34ff/8980554/c7cb2c915c1b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34ff/8980554/ed5ed21ac0d2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34ff/8980554/016cd6c6a868/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34ff/8980554/c7cb2c915c1b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34ff/8980554/ed5ed21ac0d2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34ff/8980554/016cd6c6a868/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34ff/8980554/c7cb2c915c1b/gr3.jpg

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本文引用的文献

1
Venous Ulcers: Diagnosis and Treatment.静脉溃疡:诊断与治疗。
Am Fam Physician. 2019 Sep 1;100(5):298-305.
2
The venous ulcer continues to be a clinical challenge: an update.静脉性溃疡仍然是一项临床挑战:最新进展
Burns Trauma. 2018 Jun 15;6:18. doi: 10.1186/s41038-018-0119-y. eCollection 2018.
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A case of dystrophic calcification in the masseter muscle.一例咬肌营养不良性钙化病例。
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Diagnosis and treatment of venous ulcers.静脉性溃疡的诊断与治疗
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10
Surgical removal of ulcer and lipodermatosclerosis followed by split-skin grafting (shave therapy) yields good long-term results in "non-healing" venous leg ulcers.对于“不愈合”的下肢静脉溃疡,手术切除溃疡及脂膜炎性硬化,随后进行中厚皮片移植(削痂疗法)可取得良好的长期效果。
Acta Derm Venereol. 2000 Jul-Aug;80(4):267-71. doi: 10.1080/000155500750012144.