Rezul'taty kompleksnogo lecheniya oslozhnennykh form khronicheskoy venoznoy nedostatochnosti nizhnikh konechnostey

Treatment for chronic venous insufficiency was performed in 174 patients with trophic disturbances (n = 92) and trophic ulcers (n = 82) of the lower extremities before the introduction of ultrasound diagnostic techniques (retrospective groups). This was made in 29 patients with trophic ulcers (a prospective group) in accordance with the data of duplex scanning and involved ulcer preparation by laser radiation, as well as correction of venous blood flow. In the immediate postoperative period, wound complications in the patients from the retrospective groups developed in 16.3 and 36.6% of cases, respectively. In those from the prospective group, these occurred in 6.95. Among the 82 patients from a retrospective group, recurring ulcers were diagnosed after 1-32 years in 19.5% of cases. In the late postoperative period, trophic ulcers were detected in 2.2% of patients with trophic ulcers of soft tissues. Following 1-10 years, there were no recurring ulcers in the patients from the prospective group.

chronic venous insufficiency, trophic disturbances of the lower extremities, multimodality treatment