《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (11): 1078-1079.

• 临床观察 • 上一篇    下一篇

麻风假肢使用者残肢溃疡的手术效果

严良斌1;张国成1;钱坚革2;居建文3;徐超广4   

  1. 1.中国医学科学院皮肤病研究所麻风病研究室，中国CDC麻风病控制中心麻风病防治室,江苏南京市 210042;2.浙江省立同德医院整形外科,浙江杭州市 310012;3.泰兴市人民医院骨外科,江苏泰兴市 225400;4.常德市皮肤病防治院麻防科,湖南常德市 415000
  • 收稿日期:2009-06-09 修回日期:2009-08-28 出版日期:2009-11-01 发布日期:2009-11-01

Stump Ulcer Repairing in People Affected by Leprosy

YAN Liang-bin,ZHANG Guo-cheng,QIAN Jian-ge,et al   

  1. Department of Leprosy Control, Institute of Dermatology, Chinese Academy of Medical Sciences, Nanjing 210042, Jiangsu, China
  • Received:2009-06-09 Revised:2009-08-28 Published:2009-11-01 Online:2009-11-01

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摘要： 目的 观察麻风假肢使用者残肢溃疡手术治疗的效果。方法 采用残肢缩短和增生骨组织切除手术治疗残肢溃疡73例。结果 术后残肢创面Ⅰ期愈合,随访3～12年,70例患者残肢未见新发和复发溃疡;3例残肢新发溃疡,经清创、休息、制动、维修假肢及更换内层垫,溃疡愈合未复发。结论 外科手术切除残肢局部骨组织改变残端压力的分布,术后教患者掌握日常防护知识并坚持自我护理,可避免残肢溃疡的发生。

关键词: 麻风, 假肢, 残肢溃疡, 手术

Abstract: Objective To observe the effect of stump ulcer repairing in people affected by leprosy (PALs). Methods Bone shortening and osteophyte removal were performed in 73 PALs amputees with stump ulcers. Results All the incisions were healed without any delay. During a follow-up period of 3～12 years, no relapse or new ulcers were found in 70 PALs. 3 PALs developed new ulcers, which were healed after debridement, resting, and prosthesis repairing. Conclusion Surgical revision of the bone in amputation stump can change the local distribution of pressure. Postoperative self-care teaching to the PALs and their sustaining daily self-care will finally prevent them from stump ulcer recurring.

Key words: leprosy, prosthesis, stump ulcer, surgery