Qianjiang Evening News·Hours News Reporter Zhang Bingqing Correspondent Zhu Shijun Lu Qing Going to the ground to plant rice seedlings, go up the mountain to chop firewood, like many diligent and pragmatic farmers, Uncle Wang's legs spread every inch of land in the village. Now t

Qianjiang Evening News·Hours News Reporter Zhang Bingqing Correspondent Zhu Shijun Lu Qing

Going to the ground to plant rice seedlings, go up the mountain to chop firewood, like many diligent and pragmatic farmers, Uncle Wang's legs spread throughout every inch of the land in the village.

Now the doctor told him, "This leg cannot be saved, please amputate."

His right calf resisted the wind and sun of nature, but did not avoid the invasion of stubborn diseases and decayed at an unstoppable speed...

Can this leg, which once measured the earth with its feet, still be saved?

Calp ulcers cannot heal for twenty years

Cloaked in the haze of amputation all day long

Uncle Wang is from Jiangxi Province. He has worked diligently all his life and had skin ulcers on his right calf more than 20 years ago. Uncle Wang remembered that the wound always couldn't grow well at that time and was treated as leprosy. Later, it was finally cured.

This year, Uncle Wang accidentally scratched his right calf during a farming work, causing the ulcer to recur again. Within more than a month, the wound quickly spread from a coin-like size to most of the calf. In addition to the large area of ​​wounds, it was accompanied by severe pain. Uncle Wang said that he would roll on the ground when he felt pain. After several months of treatment, the local hospital said helplessly that he could only recommend amputation.

Uncle Wang thought to himself, although his legs are rotten, my legs are fine, so why can I bear to amputate?

My daughter in Hangzhou heard about her father's condition and asked him about it from multiple sources, she took him to the vascular surgery department of the Cardiovascular Hospital of Zhejiang University Second Hospital for treatment.

After receiving the vascular surgery department, the main cause of Wang Dabo’s calf wound was lesions of the lower limb blood vessels (veins) . It is recommended to be hospitalized to improve vascular examination and undergo vascular surgery.

At the same time, the limb protection treatment center of the vascular surgery department came to the consultation. The doctor at the limb conservation center saw a large area of ​​ulcer wound on Uncle Wang’s right calf and had serious infections. After discussion, it was concluded that Uncle Wang was able to complete the evaluation of blood vessels and blood flow in the limb conservation center while debridement and anti-infection treatment.

After a series of lower limb vascular examinations, Uncle Wang was diagnosed with venous insufficiency of the right lower limb, varicose veins with ulcers, and stenosis of the right iliac vein. At the same time, it was detected that the wound had multiple bacterial infections.

After actively treating Wang Dabo’s wound with active anti-infection treatment, the vascular surgeon immediately performed surgery such as right iliac vein balloon vascularization, right saphenous vein high ligation and dissection of right saphenous vein, right lower limb vein and intravenous sclerosis. After the operation, the vascular limb conservation treatment center began to provide Wang Dabo’s right leg wound with injury repair and promote wound tissue regeneration.

The root cause of old rotten feet is lower limb venous disease

only treats local wounds poorly

With the joint efforts of vascular surgery and limb protection center, Uncle Wang's wound recovered very quickly. Most of the wound healed in two weeks after the operation. He finally showed a smile that he had not seen for a long time.

Wang Dabo admitted that in fact, the wound on his right calf has been in so many years. It may seem like a relief to hear that he wants to amputate his limbs, but he is still a little unwilling to accept it. Even when he came to Hangzhou for medical treatment, he just had the mentality of giving the last try and the last try, and he did not expect much during the hospitalization period. However, when he saw that the wound recovered so quickly, he finally recovered his confidence.

Chen Bing, director of the Department of Vascular Surgery at Zhejiang University Second Hospital, said that the wound on Wang Uncle Wang's calf is what we commonly call "old rotten feet". It is called venous ulcers in the lower limbs. The main feature is that it is difficult to heal after a long time and is prone to recur after curing. "The cause of his disease is mainly due to venous blood stasis and intravenous high pressure, which is difficult to heal the wounds in the foot boot area (especially the inner side of the ankle)."Patients like

often have varicose veins in the lower limbs or swelling of the lower limbs, and then gradually develop signs of itchy skin in the calf, eczema , dermatitis , dry and desquamation, pigmentation and other signs. In the end, it may appear due to scratching or skin ulcers and combined with infection, defect ulcers may appear.

. The fundamental reason for such skin ulcers is lower limb venous diseases, so only local treatment of wounds is definitely not ideal, and even if cured, it is easy to recur.

Director Chen Bing introduced: "In the outpatient clinic, we often encounter patients who describe this as a fingernail or a coin-sized wound. After long-term dressing changes and even infusion anti-infection treatment, the wound not only does not improve, but becomes larger and larger. Therefore, the treatment of primary vascular diseases is the primary task in treating venous ulcers in the lower limbs. ”

Zhejiang University Second Hospital Vascular Surgery Department has the first vascular limb-saving treatment center in the country. In response to this situation, the center will treat primary vascular diseases in macroscopic manner and promote the regeneration of damaged tissues in microscopic manner, thereby achieving the preservation of wound repair limbs.

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