Senet P, Monfort J-B, Debure C
UF de dermatologie et médecine vasculaire, service de dermatologie, hôpital Tenon, 4, rue de la Chine, 75970 Paris cedex 20, France.
Service de rééducation vasculaire, hôpital Corentin-Celton, 4, parvis Corenton-Celton, 92133 Issy-les-Moulineaux cedex, France.
J Mal Vasc. 2016 Sep;41(5):347-50. doi: 10.1016/j.jmv.2016.07.007. Epub 2016 Sep 3.
Compression therapy is a mandatory treatment of leg ulcers whether the goal is cure (stage C6 in the international classification for chronic venous disease) or prevention of recurrence (stage C5). Different indications for compression therapy were proposed by the French Superior Health Authority (HAS) in 2010, but new studies have modified attitudes since that time. Considering the very large number of options available, the many co-morbid conditions observed in these patients, as well as patient age and available assistance, it is important to adapt to the variable clinical and social situations encountered. One must keep in mind that a well-controlled treatment should improve trophic disorders and patient comfort. A poorly-adapted treatment with little or even deleterious effect will be abandoned by the patient.
无论治疗目标是治愈（国际慢性静脉疾病分类中的C6期）还是预防复发（C5期），加压治疗都是腿部溃疡的必要治疗方法。法国高级卫生管理局（HAS）在2010年提出了加压治疗的不同适应症，但自那时起新的研究改变了人们的态度。考虑到有大量的选择、这些患者中观察到的许多合并症以及患者年龄和可获得的帮助，适应所遇到的可变临床和社会情况很重要。必须记住，控制良好的治疗应改善营养障碍和患者舒适度。适应性差、效果甚微甚至有害的治疗将被患者放弃。
