Recovery treatment of lower limbs trophic ulcers in patients with chronic venous insufficiency (review of literature)
Abstract
Trophic ulcers are complications of chronic venous insufficiency in 15-18% of cases and appear in 1-2% of ablebodied population. The frequency increases with age up to 4-5% among the patients aged over 65, and radical removal of 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.
About the Authors
L. S. Kruglova
Central state medical academy of department of presidential affairs of the Russian Federation
Russian Federation
Russian Federation
N. B. Korchazhkina
The main medical administration of the Department of presidential Affairs of the Russian Federation
Russian Federation
Russian Federation
O. B. Tamrazova
Peoples' Friendship University of Russia
Russian Federation
Russian Federation
E. V. Filatova
Central state medical academy of department of presidential affairs of the Russian Federation
Russian Federation
Russian Federation
References
1. Богданец Л.И. Венозные трофические язвы. Возможности современной флебологии в решении старой проблемы. // Русс. мед. ж-л. - 2010. - № 7. - С. 1060-71.
2. Васютков В.Я. Венозные трофические язвы нижних конечностей. // Русс. мед. ж-л. - 1999. - № 13. - С. 616-21.
3. Золотухин И.А., Богачев В.Ю. Топические средства в лечении хронических заболеваний вен. / Спр. поликлинич. врача. - 2007. - № 4. - С. 87-90.
4. Кириенко А.И., Богачев В.Ю., Григорян Р.А., Богданец Л.И. Фармакотерапия хронической венозной недостаточности нижних конечностей. // Consilium Medicum. - 2000. - № 2(4). - С 42-44.
5. Круглова Л.С., Котенко К.В., Корчажкина Н.Б., Турбов-ская С.Н. Физиотерапия в дерматологии. «ГЭОТАР-Медиа», 2016. - 304 с.
6. Круглова Л.С., Панина А.Н., Стрелкович Т.И. Современное представление о трофических язвах венозного генеза. // Росс. ж-л кожных и венерических болезней. - 2014. - № 1. - С. 21-25.
7. Левончук Е.А., Барабанов Л.Г., Тарасевич С.М., Арбуханова Л.М. Язвенные поражения в дерматологии и их терапия // Мед. новости. - 2008. - № 6. - С. 67-69.
8. Луцевич О.Э., Галлямов Э.А., Преснов К.С. Лапароскопические вмешательства при гастроэзофагеальной рефлюксной болезни. // Альманах Ин-та хирургии им. А.В. Вишневского. - 2011. - Т. 6, № 1. - С. 67-68
9. Оболенский В.Н., Родоман Г.В., Никитин В.Г., Карев М.А. Трофические язвы нижних конечностей - обзор проблемы. // Русс. мед. ж-л. - 2009. - № 25. - С. 647-63.
10. Савельев В.С., Кириенко А.И., Богачев В.Ю. Венозные трофические язвы. Мифы и реальность. // Флеболимфоло-гия. - 2000. - № 11. - С. 5-10.
11. Яровенко Г.В., Навасардян Н.Н., Каторкин С.Е. Современные методы лечения больных с осложненными формами хронической венозной недостаточности нижних конечностей // Вестник Волгоградского государственного медицинского университета. - 2010. - № 2(34). - С. 90-93.
12. Barwell J.R., Taylor M., Deacon J. Surgical correction of isolated superficial venous reflux educes long - term reccurence rate in chronic venous leg ulcers. Eur - J - Vasc - Endovask - Surg. 2000. Oct20 (4). - Р. 363-368.
13. Belcaro G., Cesarone M.R., De Sanctis M.T. Laser Doppler and transcutaneous oximetry: modern investigations to assess drug efficacy in chronic venous insufficiency. Int J Microcirc Clin Exp 1995. - 15 Suppl. - 1. - Р. 45-9.
14. Bergan J. Venous disorders: treatment with sclerosant foam. J. Cardiovasc. Surg. (Torino). 2006. - Vol. 47. - Р. 1: 9-18.
15. Cai H., Wu L., Qu W., Malhotra D., Xie Z., Shapiro J.I., Liu J. Regulation of apical nhe3 trafficking by ouabain-induced activation of the basolateral na+-k+-atpase receptor complex // Am J Physiol Cell Physiol. - 2008. - 294. - Р. 555-563.
16. Garcia V.G., Fernandes L.A., de Almeida J.M., Bosco A.F., Nagata M.J., Martins T.M. Comparison between laser therapy and non-surgical therapy for periodontitis in rats treated with dexamethasone // Lasers Med Sci. - 2010 Mar. - 25(2). - Р. 197-206.
17. Colerige - Smith Ph. D. From Skin Disoders to Venous Leg Ulcers: Pathophysiology and Efficacy of Daflon 500 mg in ulcer Healing. Angiology. 2003; 54: 45-50.
18. Coleridge - Smith P., Lok C., Ramelet A.-A. Venous leg ulcer: a meta - analysis of adjunctive therapy with micronized purifield flavonoid fraction. // Eur J Vasc Endovasc Surg. - 2005. - Vol. 30. - P. 198-2008.
19. Dissemond J., Gerber V., Kramer A., Riepe G., Strohal R., Vasel-Biergans A., Eberlein T. Classification of wounds at risk and their antimicrobial treatment with polihexanide: a practice-oriented expert recommendation. -Tissue Viability. - 2010 Aug. - 19(3). - Р. 106-15.
20. Gauglitz G.G., Pavicic T. Emerging strategies for the prevention and therapy of excessive scars. - Published online 2013 Apr 24. doi: 10.2147/CCID.S35252.
21. Judas M., Sedmak G., Kostovic I. The significance of the subplate for evolution and developmental plasticity of the human brain // Front Hum Neurosci. - 2013. - Vol. 7. - Р. 423.
22. Maisch T. Anti-microbial photodynamic therapy: useful in the future // Lasers Med Sci. - 2007. - 22. - Р. 83-91.
23. Roos F.C.1, Evans A.J., Brenner W., Wondergem B., Klomp J., Heir P. Deregulation of E2-EPF ubiquitin carrier protein in papillary renal cell carcinoma // Am J Pathol. - 2011 Feb. - 178(2). - Р. 853-60.
24. Wagner F.W. A classification and treatment program for diabetic, neuropatic and dysvascular foot problems / In: The American Academy of Ortopaedic Surgeons instructional course lectures. - St. Louis: Mosby Year Book; 1979. - Р. 143-65.
25. Witt M.B., Kiyama T., Barbal A. Br. J. Surg. - 2002. - 89. - 12. - Р. 594-601.
Review
For citations:
Kruglova L.S., Korchazhkina N.B., Tamrazova O.B., Filatova E.V. Recovery treatment of lower limbs trophic ulcers in patients with chronic venous insufficiency (review of literature). Russian Journal of Occupational Health and Industrial Ecology. 2016;(11):7-13. (In Russ.)
Views:
321
Email this article 
