Bourne I H
Br Med J. 1974 Jun 15;2(5919):581-3. doi: 10.1136/bmj.2.5919.581.
Since oedema of adjacent tissue is a major factor in preventing healing of leg ulcers conservative treatment should aim to dry out the ulcer area before bandaging and to keep it dry afterwards. A method of postural drainage of oedema is described in which the patient lies supine with the legs raised vertically for two days. Non-stretch Viscopaste bandages are then applied and the patient allowed to move about normally, but instructed to continue vertical leg drainage for a period each day. Out of 106 cases treated by this method the leg ulcer healed within a year in 82 (77.4%). Relapses were apt to occur when the patient neglected to continue the vertical drainage regimen after the ulcer had healed. These results compare well with those reported for other methods of treatment. Vertical leg drainage treatment is inexpensive and the patient can continue at work.
由于相邻组织的水肿是阻碍腿部溃疡愈合的主要因素，因此保守治疗应旨在在包扎前使溃疡区域干燥，并在之后保持其干燥。本文描述了一种水肿的体位引流方法，即患者仰卧，双腿垂直抬高两天。然后应用非弹性Viscopaste绷带，患者可正常活动，但需每天进行一段时间的腿部垂直引流。用这种方法治疗的106例患者中，82例（77.4%）的腿部溃疡在一年内愈合。当溃疡愈合后患者忽视继续进行垂直引流方案时，容易复发。这些结果与其他治疗方法的报告结果相比良好。腿部垂直引流治疗费用低廉，患者可继续工作。
