Clinical study of leg ulcers in diabetic dialysis patients applying skin perfusion pressure

DOI Web Site 12 References
  • Hojo Megumi
    Daiyukai Daiichi Hospital, Wound Care Center, Department of Plastic Reconstructive Surgery
  • Yamazaki Michiaki
    Daiyukai Daiichi Hospital, Wound Care Center, Department of Plastic Reconstructive Surgery
  • Nagata Takeshi
    Daiyukai Daiichi Hospital, Wound Care Center, Department of Radiology
  • Minoshima Kenichi
    Daiyukai Daiichi Hospital, Wound Care Center, Department of Hemodialysis
  • Horie Masanobu
    Daiyukai Daiichi Hospital, Wound Care Center, Department of Hemodialysis
  • Nakane Kunio
    Daiyukai Daiichi Hospital, Wound Care Center, Department of Orthopaedic

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Other Title
  • 糖尿病透析患者の下腿潰瘍とＳＰＰ（ｓｋｉｎ　ｐｅｒｆｕｓｉｏｎ　ｐｒｅｓｓｕｒｅ）値の臨床的検討
  • トウニョウビョウ トウセキ カンジャ ノ カタイ カイヨウ ト SPP skin perfusion pressure チ ノ リンショウテキ ケントウ

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Abstract

We measured skin perfusion pressure (SPP) in the treatment of leg ulcer of diabetic dialysis patients. We analyzed whether the original wound site was healing properly. The subjects were 64 diabetic dialysis patients with a total of 128 legs whose SPP values were measured between August 2005 and October 2007. These subjects were divided into two groups with ulcer and without ulcer and comparisons were made. The mean SPP values were 38.9±18.7 mmHg and 51.7±19.8 mmHg (p=0.000336) for the ulcer and non-ulcer group, respectively. Leg ulcers in diabetic dialysis patients were difficult to treat. We found that healing occurred in only 7 patients during the term of observation and their mean SPP values were 49.2±20.4 mmHg. SPP is easy to measure and has low invasiveness and might be useful to judge the state of healing and prognosis in critically ischemic limbs. However, it is necessary to use this approach in combination with CT (MDCT) or angiography.

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