皮肤科伤口门诊慢性腿部溃疡的病因：回顾性观察研究。
Etiology of Chronic Leg Ulcers in a Dermatologic Wound Clinic: A Retrospective Observational Study.
机构信息
Department of Dermatology, University of Brescia, Spedali Civili Brescia, Brescia, Italy.
Clinic of Dermatology, Department of Medicine and Aging Sciences, University G. D'Annunzio, Chieti, Italy.
出版信息
Wound Manag Prev. 2022 Aug;68(8):12-15.
BACKGROUND
Chronic leg ulcers affect approximately 1% to 2% of the European population, with an increasing prevalence. The treatment of chronic wounds is a socioeconomical problem worldwide.
PURPOSE
The main purpose of the current investigation was to detect the etiology of leg ulcers treated in a dermatologic wound clinic from January 1, 2010, to December 31, 2019.
METHODS
This retrospective observational study was performed at the Dermatologic Clinic of Spedali Civili in Brescia, Italy. The authors enrolled 465 patients with chronic leg ulcers.
RESULTS
The 3 most represented causes of ulcers were vascular (238 patients, 51.2%), inflammatory (71 patients, 15.3%) and traumatic (43 patients, 9.3%). Altogether, a total of 13 different entities were identified as a cause of leg ulcer.
CONCLUSION
Vascular genesis was the most common etiology of leg ulcers in this population, even though uncommon causes were also represented. These findings are in agreement with other studies reported in the literature.
背景
慢性腿部溃疡影响约 1%至 2%的欧洲人口，且其发病率呈上升趋势。慢性伤口的治疗是全球范围内的一个社会经济学问题。
目的
本次调查的主要目的是检测 2010 年 1 月 1 日至 2019 年 12 月 31 日在皮肤科伤口诊所治疗的腿部溃疡的病因。
方法
该回顾性观察研究在意大利布雷西亚 Spedali Civili 的皮肤科诊所进行。作者共招募了 465 例慢性腿部溃疡患者。
结果
溃疡的 3 个最主要病因是血管性（238 例，51.2%）、炎症性（71 例，15.3%）和创伤性（43 例，9.3%）。总的来说，共有 13 种不同的疾病被确定为腿部溃疡的病因。
结论
在该人群中，血管性溃疡是腿部溃疡最常见的病因，尽管也存在不常见的病因。这些发现与文献中报道的其他研究结果一致。
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