Korstanje M J
Department of Dermatology, St. Anna Hospital, Geldrop The Netherlands.
Dermatol Surg. 1995 Jul;21(7):635-40.
Less than 10% of venous ulcers are refractory to a conservative treatment with compression bandages. Patients with such chronic or frequently recurring ulcers are candidates for surgical intervention.
This review article discusses the various therapeutic modalities for venous ulcers resistant to compression therapy.
Each therapeutic modality is discussed separately.
There are several therapeutic options. It is not easy to determine the proper place of each therapeutic modality in the management of venous leg ulcers. No type of surgical or medical management is truly curative of venous insufficiency, only palliative. An algorithm is proposed, which may serve as a guideline for chosing the best suitable therapeutic option.
With a better understanding of therapeutic options other than compression therapy the care for each individual patient may be optimized.
不到10%的静脉性溃疡对压迫绷带保守治疗无效。患有此类慢性或频繁复发溃疡的患者是手术干预的候选对象。
这篇综述文章讨论了对压迫治疗耐药的静脉性溃疡的各种治疗方式。
分别讨论每种治疗方式。
有几种治疗选择。确定每种治疗方式在下肢静脉溃疡管理中的合适位置并不容易。没有哪种手术或药物治疗能真正治愈静脉功能不全，只有缓解作用。提出了一种算法，可作为选择最合适治疗方案的指导。
通过更好地了解压迫治疗以外的治疗选择，可为每个患者优化护理。
