Trabucchi E, Pace M, Gabrielli L, Annoni F
IRCCS, Cattedra di Chirurgia Generale I, Università degli Studi di Milano.
Minerva Cardioangiol. 1994 Jan-Feb;42(1-2):43-50.
The ulcus cruris is an ulcerative lesions caused by chronic venous stasis and chronic venous hypertension. Every pathologic obstacle to venous return can cause ulcus cruris. Ulcus could be brought back to 3 situations: postphlebitic syndrome, chronic venous insufficiency and primitive varicosities. The common denominator is always the increase in venous pressure, the appearance of reflux and venous stasis. Venous ulcers are possibly characterized by tissue degeneration and by bacterial superinfection. A particular bacterial flora is found in these injuries, it is qualitatively different from that of healthy skin. The therapy of ulcus cruris cannot leave out by its etiopathogenesis: the first treatment always consists in the stasis suppression to arrive quickly to a complete cicatricial would repair. In it three moments are recognizable: ulcus abstersion, disinfection and cicatrization. The venous ulcer is not cured when it is closed, but when it has no recurrency: the cicatrization is obtainable treating the principal causes, eliminating the venous stasis and anticipating the relapses.
小腿溃疡是一种由慢性静脉淤滞和慢性静脉高压引起的溃疡性病变。任何阻碍静脉回流的病理因素都可导致小腿溃疡。溃疡可归纳为三种情况：静脉炎后综合征、慢性静脉功能不全和原发性静脉曲张。其共同特征始终是静脉压力升高、反流和静脉淤滞的出现。静脉溃疡可能以组织变性和细菌二重感染为特征。在这些损伤中发现了一种特殊的细菌菌群，其在性质上与健康皮肤的细菌菌群不同。小腿溃疡的治疗不能忽视其病因发病机制：首要治疗总是在于消除淤滞，以便迅速实现完全的瘢痕愈合。在此过程中可识别出三个阶段：溃疡清创、消毒和愈合。静脉溃疡并非在创口闭合时就已治愈，而是在不再复发时才算治愈：通过治疗主要病因、消除静脉淤滞并预防复发才能实现愈合。
