采用四层加压包扎法治疗静脉性溃疡，不受静脉瓣功能不全类型的影响。
Venous ulcer healing by four-layer compression bandaging is not influenced by the pattern of venous incompetence.
作者信息
Guest M, Smith J J, Sira M S, Madden P, Greenhalgh R M, Davies A H
机构信息
Department of Vascular Surgery, Imperial College of Science, Technology and Medicine, Charing Cross Hospital, London, UK.
出版信息
Br J Surg. 1999 Nov;86(11):1437-40. doi: 10.1046/j.1365-2168.1999.01288.x.
BACKGROUND
Previous studies have related deep venous incompetence to reduced venous ulcer healing rates. The aim of this study was to determine the relationship between the pattern of venous incompetence and ulcer healing.
METHODS
A total of 198 legs with venous ulceration were investigated with colour venous duplex imaging to determine the presence and site of venous incompetence. All were treated initially with the four-layer bandage technique.
RESULTS
At 6 months, 74 per cent of the venous ulcers had healed using the four-layer bandage technique. There was no significant correlation between the pattern of incompetence and the healing rate of the ulcer. Previous deep vein thrombosis (DVT), increased size of the ulcer and previous episodes of ulceration were associated with a poor healing rate.
CONCLUSION
The four-layer bandage technique achieved an ulcer healing rate of 74 per cent after 6 months, irrespective of the pattern of venous incompetence. Patients with a large ulcer, previous DVT or previous episodes of ulceration had delayed healing, supporting the previous literature.
背景
既往研究已将下肢深静脉瓣膜功能不全与静脉性溃疡愈合率降低相关联。本研究旨在确定静脉瓣膜功能不全模式与溃疡愈合之间的关系。
方法
对总共198条患有静脉性溃疡的下肢进行彩色静脉双功成像检查，以确定静脉瓣膜功能不全的存在情况及部位。所有患者最初均采用四层绷带技术进行治疗。
结果
6个月时，采用四层绷带技术治疗的静脉性溃疡中有74%愈合。瓣膜功能不全模式与溃疡愈合率之间无显著相关性。既往有深静脉血栓形成（DVT）、溃疡面积增大及既往有溃疡发作史与愈合率低相关。
结论
无论静脉瓣膜功能不全模式如何，四层绷带技术在6个月后实现了74%的溃疡愈合率。溃疡面积大、既往有DVT或既往有溃疡发作史的患者愈合延迟，这与既往文献报道相符。
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