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Management of Venous Ulcers of Legs

山口医学 Volume 42 Issue 3 Page 225-230
published_at 1993-06
Title
静脈性下腿潰瘍の治療経験
Management of Venous Ulcers of Legs
Creators Kouchi Yasuhiro
Creators Furutani Akira
Creators Akiyama Norio
Creators Yoshimura Kohichi
Creators Seyama Atsushi
Creators Akimoto Fumikazu
Creators Fujioka Kentarou
Creators Esato Kensuke
Source Identifiers
Creator Keywords
静脈性下腿潰症 下腿静脈瘤 深部静脈血栓症 腰部交感神経節切除術
From January, 1985 to October, 1992, ll patients (6 males and 5 females) with venous ulcers were treated in our institution. The causes of incurable leg ulcers were primary varicose veins in 8 patients and deep vein thrombosis in 3 patients. Solitary leg ulcers, 10×4 to 50×50mm in size, were seen in 7 cases and multiple ulcers in 4 cases. The venous ulcers following primary varicose veins were completely cured by extensive whole saphenous vein stripping and excision of varices in 6 cases. In addition, middle layer skin grafting was performed in 2 of 6 cases. Lumbar sympathectomy for incurable venous ulcers following deep vein thrombosis was performed in 2 of three cases. Conservative therapy such as a resting, elevation of the lower extremity and a compression dressing was carried out in 4 of the 11 cases. All patients with venous ulcers were discharged with complete healing. A recurrence was the only one, who underwent lumbar sympathectomy following deep vein thrombosis, 5 months after surgery. However, all other patients with venous leg ulcers were still well in the follow-up examinations of 7 to 49 months after sugery.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1993-06
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部