摘要2019年1月1日江苏省苏北人民医院收治1例55岁男性右下肢慢性溃疡患者。入院后行右小腿溃疡扩创＋负压封闭引流(VSD)术，在右跟腱与腓骨间隙中取出2块类骨骼样组织，术后病理切片证实为骨化组织，创面行VSD及换药治疗。术后49 d，取左股外侧中厚皮片移植于创面，之后行VSD治疗。患者术后皮片存活良好，住院77 d后痊愈出院。该病例提示慢性溃疡患者应及时完善相关检查，改善病灶血液循环和清除创面异位骨化灶至关重要。

abstractsOn January 1st, 2019, one male patient, aged 55 years, with chronic ulcer in right lower extremity was admitted to Northern Jiangsu People′s Hospital. After admission, ulcer debridement and vacuum sealing drainage (VSD) surgery was performed in lower right extremity. Two pieces of bone-like tissue was removed from the lateral space between the Achilles tendon and fibula in the right leg, which was confirmed as ossification tissue by histopathological sections after surgery. The wounds were treated with VSD technique and dressing changes. On the 49th day after surgery, split-thickness skin graft was taken from the lateral left thigh and grafted to the wound area, which was then treated with VSD. The skin graft of patient survived well. The wound healed completely and the patient was discharged from hospital on day 77 post hospitalization. This case suggests that the patients with chronic ulcer should complete all related examinations in time, and improving the blood circulation of the wound and clearing the ectopic ossification in the wound are critical for wound healing.