Fioramonti Paolo, Onesti Maria Giuseppina, Fino Pasquale, Fallico Nefer, Scuderi Nicolò
Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza" Policlinico Umberto I, Rome, Italy.
Ann Ital Chir. 2012 Jan-Feb;83(1):41-4.
Chronic venous ulcers are one of the most common medical problems today. The treatment has always been challenging and over the years many conservative and surgical alternatives have been proposed. During the past three decades, extracorporeal shock wave therapy (ESWT) has been introduced in several medical specialties. According to the clinical findings, the ESWT appears to significantly improve the healing process of chronic wounds, increasing the release of endogenous angiogenic factor from endothelial cells and fibroblasts, consequently fastening the healing process of chronic wounds. The present report describes the application of ESWT for the treatment of chronic venous ulcers in the lower limbs and compared the results with those obtained by conventional treatment on the contralateral leg.
慢性静脉溃疡是当今最常见的医学问题之一。其治疗一直具有挑战性，多年来人们提出了许多保守和手术治疗方案。在过去三十年中，体外冲击波疗法（ESWT）已被引入多个医学专科。根据临床研究结果，ESWT似乎能显著改善慢性伤口的愈合过程，增加内皮细胞和成纤维细胞释放内源性血管生成因子，从而加快慢性伤口的愈合进程。本报告描述了ESWT在治疗下肢慢性静脉溃疡中的应用，并将结果与对侧腿采用传统治疗所获得的结果进行了比较。
