慢性放射性溃疡32例治疗体会

慢性放射性溃疡治疗难度较大，为寻求适当的治疗方案提高疗效，对既往病例进行了回顾。总结了自１９８３年以来，慢性放射性溃疡３２例的治疗经验，对发病原因、部位、病变特点及治疗方法作了分析。３１例治愈、创面Ｉ期愈合２６例，Ⅱ期愈合５例，死亡１例。认为须提高对放射溃疡的重视和认识，针对不同的病变部位，深度及其特点，采取不同的清创方法及相应的修复措施。为改善局部血循环，应以皮瓣或肌皮瓣治疗为首选。

Clinical experience in the treatment of chronic radiation ulcer in 32 cases]

A retrospective study was carried out, aiming at a proper treatment to the chronic radiation ulcer that is often difficult to deal with. Thirty-two cases of chronic radiation ulcer have been treated in the department since 1983. The cause, site, features and method of treatment were summarized. Thirty-one cases were cured, 26 cases healed by the first intention, 5 cases healed by the second intention. One died. It is emphasized that more knowledge should be gained for understanding and treatment of the chronic radiation ulcer. Different methods of debridement and repair should be performed according to the site, depth and pathologic features of the ulcer. To improve local circulation, an island flap is the first choice of treatment.