Chernukha L M
Klin Khir. 2002 Apr(4):15-23.
The results of clinical examination and surgical treatment of 115 patients with syndrome of chronic lymphovenous insufficiency of the lower extremities were adduced. The pathogenetically substantiated differentiated approach to the treatment was elaborated, which includes the staged surgical treatment conduction, directed on correction of the venous hemodynamics and the lymph outflow disorders, and the staged surgical treatment of trophic ulcers using alloderma and free cutaneous transplants. The tactics proposed had permitted to achieve satisfactory result of treatment in late period in 81%.
列举了115例下肢慢性淋巴静脉功能不全综合征患者的临床检查和外科治疗结果。阐述了基于发病机制的差异化治疗方法,包括分阶段进行旨在纠正静脉血流动力学和淋巴引流障碍的手术治疗,以及使用同种异体皮肤和游离皮肤移植对营养性溃疡进行分阶段手术治疗。所提出的策略使81%的晚期患者获得了满意的治疗效果。