ЭПИДЕМИОЛОГИЯ НЕТИПИЧНЫХ ТРОФИЧЕСКИХ

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, 2009,
8,
3
.
«
»
.
,
.
547
157
.
24,1%
.
.
,
42,5%
,
39,1%
,
27,3%
.
6,25%
15,6%
,
.
:
,
,
,
.
Abstract. To discover the rate of trophic derangements of different localization
patients admitted to the general surgery clinic with chronic venous disease of the legs
during one-year period were examined. 547 limbs with varicose disease and 157
limbs with postthrombotic syndrome (PTS) were inspected. During physical
examination the localization of existing trophic derangements of different degree was
1
, 2009,
8,
3
considered. Trophic changes on anterolateral surface of the shin were observed in
42,5% cases of all derangements in patients with PTS, trophic ulcers of the same
localization were seen in 24,1% cases of the ulcers. In case of varicose disease
trophic derangements on anterolateral surface were seen in 39,1% of all changes,
whereas ulcers in this region accounted for 27,3% of all cases. In 6,25% of cases in
PTS and 15,6% in varicose disease isolated trophic derangements were observed on
the anterolateral surface, which may be indicative of possible specific hemodynamic
disturbances.
Keywords: trophic derangements, anterolateral surface of the shin, medial
surface of the shin, chronic venous insufficiency.
:
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.
3.
,
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.
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.
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.
/
,
.
. –
.:
., 2005. –
253 .
2.
.
:
.–
.:
/
, 2001. – 664 .
13
.
[
.];
.
, 2009,
8,
3
3. The Fundamentals of Phlebology: Venous Disease for Clinicians / Ed. by
H.S. Fronek. – American College of Phlebology, 2008. – 98 .
4 Schoevaerdts, J.-C. Programme for detecting chronic venous insufficiency in
Belgium / J.-C. Schoevaerdts, I. Staelens // Phlebology. – 2007. – Vol. 22,
4. –
P.171-178.
5. Grey J.E. ABC of wound healing. Venous and arterial leg ulcers / J.E. Grey,
K.G. Harding // Brit. Med. J. – 2006. – N 11. Vol. 332– . 347–350
6. Jawien, A. Prevalence of chronic venous insufficiency in men and women in
Poland: multicentre cross-sectional study in 40,095 patients / A. Jawien, T. Grzela, A.
Ochwat // Phlebology. – 2003. – Vol.18, N3. – P. 110-122.
7. Allegra, C. Chronic venous insufficiency: the effects of healf-care reforms
on the cost of treatment and hospitalization-an Italian perspec-tive / C. Allegra //
Current Medical Res. Opinion. – 2003. – Vol. 19,
8. – P. 761–769.
8. Principles and Practice of Surgery/ Ed. by O.J. Garden, A.W. Bradbury,
J.L.R. Forsythe, R.W. Parks – Elsevier, 2005, –593 .
9
,
.
:
. /
.
,
.
. –
.:
, 2001 . – 256 .
10. Surgical talk: revision in surgery / Ed. by A. Goldberg, G. Stansby. – 2nd
ed. – Imperial College Press, 1999. – 403 .
11.
–
,
.
.
.
./
.
, 2001. – 608 .
12.
.2. /
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13.
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.
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/
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, 1972. – 440 .
.
/
14
.
, [
.] //
, 2009,
8,
3
:
.
.-
.
. –
, 2009. – 45-47.
15. de Rijcke, P.A. Subfascial endoscopic perforating vein surgery as treatment
for lateral perforating vein incompetence and venous ulceration // P.A. de Rijcke,
W.C. Hop, C.H. Wittens // J. Vasc. Surg. – 2003. – Vol. 38,
16.
,
(UIP,
.
18-20
– 2007. –
4. – P.799-803.
, 2007 .) /
1. –
.
,
.
//
.
: http://www.mediasphera.ru/journals/flebo/5708. –
: 16.04.2009.
17.
.
(
)/
,
.
,
//
,
. – 2003. –
21. –
. 10-14.
18.
/
4-
.. –
.:
.
.
.
, 2001. – 407 .
19.
.
.
Smith
et.
al.
//
.
–
2008.
2.
–
/ P. Coleridge1.
http://www.mediasphera.ru/journals/flebo/detail/427/6392.
16.04.2009.
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–
:
–
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