Yavuz Celal, Demirtas Sinan, Guclu Orkut, Karahan Oguz, Yazici Suleyman, Caliskan Ahmet, Mavitas Binali
Department of Cardiovascular Surgery, Medical School of Dicle University, 21280 Diyarbakir, Turkey.
Case Rep Vasc Med. 2012;2012:315147. doi: 10.1155/2012/315147. Epub 2012 Dec 17.
Chronic venous insufficiency may cause stasis ulcers that significantly impact on the quality of life. Many methods have been described for preventing or treating these ulcers. However, stasis ulcers often recur as a result of continuing venous insufficiency. Here we report a 30-year-old male patient with chronic venous insufficiency. He was admitted to the hospital owing to recurrent stasis ulcers. He had a history of various flavonoid drug usage and compression therapies over the previous six years. Venous Doppler sonography revealed combined saphenofemoral and deep femoral venous insufficiency. Venocuff was applied to the prejunctional and postjunctional parts of the femoral vein and the saphenofemoral junction. The patient was discharged on the postoperative second day, and a low-molecular-weight heparin dressing composed of calcium alginate was applied to the ulcer wound for one week after the operation. The stasis ulcer wound was totally healed after one month. The patient was followed up six months after the operation, and no postoperative complications or new ulceration was observed. Recurrent stasis ulcers are major reasons for hospitalization in patients with chronic venous insufficiency. Venocuff application for reducing venous insufficiency may be a good option for adjunctive ulcer therapy and for preventing recurrences of the problem.
慢性静脉功能不全可能导致淤积性溃疡，这对生活质量有显著影响。已经描述了许多预防或治疗这些溃疡的方法。然而，由于持续的静脉功能不全，淤积性溃疡经常复发。在此，我们报告一名30岁的慢性静脉功能不全男性患者。他因复发性淤积性溃疡入院。在过去六年中，他有使用各种黄酮类药物和进行压迫治疗的病史。静脉多普勒超声检查显示股隐静脉和股深静脉合并功能不全。在股静脉和股隐静脉连接处的节前和节后部分应用静脉袖带。患者术后第二天出院，术后一周在溃疡伤口处应用由海藻酸钙组成的低分子量肝素敷料。一个月后，淤积性溃疡伤口完全愈合。术后六个月对患者进行随访，未观察到术后并发症或新的溃疡形成。复发性淤积性溃疡是慢性静脉功能不全患者住院的主要原因。应用静脉袖带减少静脉功能不全可能是辅助溃疡治疗和预防该问题复发的一个好选择。
