قرحات الساق, دراسة وبائية سبيية وعلاجية

Authors

  • حميد سليمان
  • فوز حسن
  • سوسن صقر

Abstract

-   قرحة الساق مرض شائع ومنتشر عالمياً ، يصيب كلا الجنسين وكل الأعمار ، ويزداد حدوثه مع تقدم العمر.

-   إن قرحة الساق حالة مرضية شديدة الارتباط مع الاضطرابات الوعائية ، وإن أكثر اختلاطاتها هو الإنتان والتهاب الجلد بالتماس.

-  يعتمد علاج قرحة الساق الأساسي على التشخيص الدقيق لسبب القرحة وعلاجه ، ثم علاج الاختلاطات وخاصة الإنتان الثانوي ، ثم المساعدة على الترمم باستخدام مستحضرات مختلفة ، ونادراً ما تحتاج قرحة الساق إلى تداخل جراحي.

-  تضمن البحث 35 مريضاً مصاباً بقرحة ساق من المراجعين للعيادة الجلدية في مشفى الأسد الجامعي في اللاذقية خلال فترة الدراسة الممتدة من شهر شباط 2004 حتى شهر حزيران 2005.

-  كانت نسبة انتشار قرحة الساق بين المراجعين للعيادة الجلدية ( 0.32%) ، وبلغ عدد المرضى الذكور ( 18) مريضاً وعدد الإناث ( 7) ،وكان العمر الوسطي للمرضى ( 48 سنة ) وأكثر الفئات العمرية إصابة بهذا المرض هي
( 61-70 سنة ) و( 31-40 ) .

-   كان أكثر أسباب قرحة الساق القصور الوريدي المزمن وبنسبة ( 25.71%) ثم القصور الشرياني بنسبة ( 22.86%).

-   كان أكثر الاختلاطات شيوعاً هو الإنتان الثانوي والتهاب الجلد بالتماس.

-  شملت الدراسة العلاجية بالمستحضرات المساعدة على الترميم ( 22) مريض وكانت أفضل النتائج مع استخدام Mebo® ، وSilver Leaf® بنسبة شفاء ( 100%) وبفترة وسطية للشفاء مقدارها ( 8) أسابيع.

Leg ulcer is a common disease world-wide. It involves both sexes, all ages, and its incidence increases proportionally with age.

Leg ulcer is severely related to vascular disorders, and its most common complications are infection and contact dermatitis.

The essential treatment of leg ulcer depends on the accurate diagnosis of the cause of leg ulcer, then treating the reason and the complications, especially secondary infections, followed by using a variety of products in order to urge the renovation process; leg ulcers rarely need surgical approachment.

The research included 35 patients having leg ulcer who had attended the dermatological and veneral clinic at Assad Hospital in Lattakia during the research period starting February 2004  till June 2005.

The rate of leg ulcers amongst patients attending the dermatological clinic was 0.32%, of whom there were 18 males and 7 females. The median age of patients was 48 years, and the most involved age group was (61-70) and ( 31-40).

The most common cause of leg ulcer was chronic venous insufficiency (rate of 25.71% ), in second place comes arterial insufficiency ( rate of 22.86%).

The most common complication was secondary infection and contact dermatitis.

The therapeutical study of the renovating products included 22 patients. Best results were found when Mebo® and (silver – leaf ®) where used accomplishing a healing rate of 100% in 8 weeks as a median interval for recovery.

 

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Published

2019-01-14

How to Cite

1.
سليمان ح, حسن ف, صقر س. قرحات الساق, دراسة وبائية سبيية وعلاجية. Tuj-hlth [Internet]. 2019Jan.14 [cited 2024May6];27(3). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6362

Issue

Vol. 27 No. 3 (2005): العلوم الصحية

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