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慢性静脉功能不全患者下肢营养性溃疡的康复治疗(文献综述)

Recovery treatment of lower limbs trophic ulcers in patients with chronic venous insufficiency (review of literature).

作者信息

Kruglova L S, Korchazhkina N B, Tamrazova O B, Filatova E V

出版信息

Med Tr Prom Ekol. 2016(11):7-13.

Abstract

Trophic ulcers are complications of chronic venous insufficiency in 15-18% of cases and appear in 1-2% of able- bodied population. The frequency increases with age up to 4-5% among the patients aged over 65, and radical removalof the disease can be achieved only in one tenth of the patients. With that, even healed trophic ulcers recur frequently: after surgery in 4,8-31,6% of cases (according to various authors), after conservative treatment in 15-100% of cases. Main treatment modalities for trophic ulcers are medical and surgical. Recent researches necessitate including physical therapy methods into the treatment complex, as combined techniques that enable to improve results of various treatment variants.

摘要

营养性溃疡是慢性静脉功能不全的并发症,在15%至18%的病例中出现,在1%至2%的健康人群中出现。随着年龄增长,这一频率会增加,65岁以上患者中可达4%至5%,而只有十分之一的患者能够实现疾病的根治。即便如此,即使已愈合的营养性溃疡也经常复发:手术后复发率在4.8%至31.6%之间(根据不同作者),保守治疗后复发率在15%至100%之间。营养性溃疡的主要治疗方式包括药物治疗和手术治疗。最近的研究有必要将物理治疗方法纳入治疗方案中,作为能够改善各种治疗方案效果的联合技术。

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