RESULTS OF A COMPREHENSIVE STUDY OF PATIENTS WITH CHRONIC VENOUS INSUFFICIENCY OF THE LOWER LIMB COMPLICATED BY TROPHIC ULCERS

Abstract

We studied the results of an examination of 96 patients with postthrombophlebitic and varicose ulcers of the lower extremities. In order to determine the state of microcirculation, transcapillary diffusion along the venovenous gradient was studied. In order to study the resorption and transport capabilities of the lymphatic system, the technique of indirect lymphoscintigraphy was used. The level and monitoring of oxygen tension in tissue were studied. In patients with chronic venous insufficiency of the lower extremities, complicated by trophic ulcers, a violation of microhemo- and lymphocirculation in the affected limb was revealed. In patients with post-thrombophlebitic and varicose ulcers of the lower extremities, it is necessary to correct not only venous insufficiency, but also lymphatic drainage in the complex treatment of this category of patients