Puonti H, Asko-Seljavaara S
Department of Plastic Surgery, Töölö Hospital, Helsinki University Central Hospital, Finland.
Ann Chir Gynaecol. 1998;87(3):219-23.
Skin grafting is a simple and cheap method of treating leg ulcers, and if done in the early phase it can lower health care costs. This study analyses patients who underwent excision and skin-grafting of leg ulcers in the Department of Plastic Surgery during 1993-1995.
Sixty-five patients were operated on; 17 of them, however, died during follow-up and were excluded from the study. The average follow-up time was 1 year 11 months (range 11 months-2 years 11 months).
Ninety per cent of all ulcers were cured in the course of an average hospital stay of 11 days and postoperative wound care of four and a half months. Ulcers recurred, however, in 17% of these patients during follow-up.
Skin grafting is a simple and cheap method for treating leg ulcers, and if done in the early phase it can lower health care costs. Attention should be paid to the other diseases of patients, venous or arterial insufficiency in particular, and also to cortisone intake, in order to prevent recurrences of leg ulcers after surgery.
皮肤移植是治疗腿部溃疡的一种简单且廉价的方法，若在早期进行，可降低医疗成本。本研究分析了1993年至1995年期间在整形外科接受腿部溃疡切除及皮肤移植手术的患者。
65例患者接受了手术；然而，其中17例在随访期间死亡，被排除在研究之外。平均随访时间为1年11个月（范围为11个月至2年11个月）。
所有溃疡中有90%在平均住院11天及术后四个半月的伤口护理过程中治愈。然而，在这些患者的随访期间，有17%出现了溃疡复发。
皮肤移植是治疗腿部溃疡的一种简单且廉价的方法，若在早期进行，可降低医疗成本。应关注患者的其他疾病，尤其是静脉或动脉功能不全，以及皮质激素的摄入情况，以预防术后腿部溃疡复发。
