Novosti
Khirurgii
This journal is
indexed in Scopus





Year 2007 Vol. 15 No 4

MODERN DIAGNOSTICS AND THERAPY

LYZIKOV A.A., PECHENKIN A.A., SEDELNIK V.S., LAVOCHKIN V.V.

COMBINED TREATMENT OPTIMIZATION OF VARICOSE ETIOLOGY TROPHIC DISTURBANCES

The results of trophic ulcers combined treatment in case of chronic venous insufficiency are presented in the report. 187 patients with terminal chronic venous insufficiency admitted to Gomel region vascular surgery department in 2001-2005 were studied. The results of surgical, conservative and combined treatment were analyzed. Microbiological study of ulcer content was performed in all patients and antibacterial medicines resistance was revealed. Incidence of staphylococcus aureus was detected in 163 patients (87, 3%) and streptococcus aerugenosa - in 65 (34, 6% cases). Appearance of other microorganisms such as proteus vulgaris etc. was rare (up to 1, 6 %). The terms of ulcer healing in the patients after surgical treatment were 12±1, 2 weeks and in the patients who received conservative therapy - 60±1, 1 week. Management order of terminal chronic venous insufficiency combined complex treatment has been determined.

Keywords: chronic venous insufficiency, antibiotic therapy, microorganisms, combined treatment.
p. 81 - 85 of the original issue
References
  1. Введенский, А. Н. Варикозная болезнь / А. Н. Введенский. – Л.: Медицина,1983. – 208 с.
  2. Гришин, И. Н. Варикоз и варикозная болезнь нижних конечностей / И. Н. Гришин, В. Н. Подгайский, И. С. Старосветская. – Мн.: Выш. школа, 2005. – 253 с.
  3. Иванов, Е. В. Алгоритмы амбулаторной диагностики и лечения осложненных форм ХВН: методические рекомендации / Е. В. Иванов. – Тюмень, 2006. – 24 с.
  4. Покровский, А. В. Клиническая ангиология: руководство: в 2 т. / А. В. Покровский; под ред. А. В. Покровского. – М.: Медицина, 2004. – Т. 2. – 888 с.
  5. Применение многодневного компрессионного воздействия в комплексном лечении венозных трофических язв / Н. А. Кузнецов [и др.] // Флеболимфология. Cпец. выпуск: труды VI конференции Ассоциации флебологов России. – 2006. – С. 101-102.
  6. Сабельников, В. В. Варикозная болезнь нижних конечностей. Современный взгляд на проблему / В. В. Сабельников, Е. К. Шулепова // Мир Медицины – 2001. – №3. – С. 39-41.
  7. Флебология: руководство для врачей / В. С. Савельев [и др.]; под ред. В. С. Савельева. – М.: Медицина, 2001. – 664 с.
  8. Ханевич, М. Д. Осложненные формы хронической венозной недостаточности нижних конечностей / М. Д. Ханевич, В. И. Хрупкин. – М.: МедЭкспертПресс, 2003. – 176 с.
  9. Coagulation and fibrinolysis in chronic venous insufficiency / L. Blomberg [et al.] // Vasa. – 2001. – Vol. 30, N 3. – P. 184-187.
  10. Haanson, P. O Recurrent venous thromboembolism after deep vein thrombosis / P. O. Haanson, J. Sorbo, H. Eriksson // Arch. Int. med. – 2000. – Vol.160. – P. 769-774.
  11. Need for long-term anticoagulant treatment of symptomatic calf vein thrombosis / C. I. Lage-rstedt [et al.] // Lancet. – 2005. – Vol.2. – P. 515-518.
  12. Haemostatic factors and risk of varicose veins and chronic venous insufficiency: Edinburgh Vein Study / A. J. Lee [et al.] // Blood Coagul. Fibrinolysis. – 2000. – Vol. 11, N 8. – P.775 - 781.
  13. The long-term clinical course of acute deep vein thrombosis / P. Prandoni [et al.] // Ann. Int. Med. – 1996. – Vol. 155. – P. 1-7.
  14. Fibrinogen adsorbtion – a new treatment option for venous leg ulcer? / M. Stucker [et al.] // Vasa. – 2003. – Vol.32, N 3. – P.173-177.
  15. Potential role of anaerobic cocci in impaired human would healing / I. B. Wall [et al.] // Would Repair Regen. – 2002. – Vol. 10, N 6. – P.346-353.
Contacts | ©Vitebsk State Medical University, 2007