Kerstein M D
Angiology. 1979 Mar;30(3):178-81. doi: 10.1177/000331977903000304.
The management of leg ulcers of venous origin begins with patient cooperation. Bed rest, leg elevation, and local care should relieve pain and initiate healing. This can be facilitated or managed on an outpatient basis by using an Unna's boot. Superficial varicosities should be ligated and stripped, and perforators identified by venography should be ligated and divided subfascially. Ulcers can then be excised and grafted. Long-term care includes chronic use of compression hose.
静脉性腿部溃疡的治疗始于患者的配合。卧床休息、抬高腿部以及局部护理应能缓解疼痛并启动愈合过程。使用尤纳氏靴可在门诊促进或管理这一过程。应结扎并剥脱浅表静脉曲张，通过静脉造影确定的穿通支应在筋膜下结扎并离断。然后可切除溃疡并进行植皮。长期护理包括长期使用弹力袜。
