Moreno RJC, Serrano LJA, Sánchez NNE, Huerta HH, Heredia PML, Mijangos WF, Gutiérrez FJL, Ramírez MC

Language: Spanish
References: 11
Page: 46-51
PDF size: 316.62 Kb.

ABSTRACT

Introduction: The venous sores are the major complication of the venous hypertension caused by the valvular incompetence and/or outflow obstruction (occurrence of 0.5 to 4%). The treatment me dically is effective (with closing sore 88%) nevertheless with high rates of recurrence (57% to five years). In addition of the surgical conventional treatment (Linton procedure), arise another less in vading treatment (endoscopy, laser, radiofrequency, ETDG). The ETDG is an alternative treatment for CFU (a rate of closing of 75.4% and a recurrence of sore of 32% to 20 months).
Objective: To determine conservative treatment versus sclerotherapy treatment of safenous and perforating venous ultrasound Doppler guided (ETDG) and compression therapy as treatment for chronic flebostatic ulcers (CFU).
Material and methods: In the period from November, 2006 to May, 2008 patients with CFU were included. In all the cases they identifying the presence of perforating or safenous system axial reflux. One group receives conservative treatment with compression therapy (group A) and other surrende red to ETDG with polidocanol, with foam technique (group B).
Results: 37 patients were in group A (52.8%) and 33 patient in group B (47%). A follow up to 21 weeks a total close of ulcers in 72.8% (62.1% group A, 84.8% in group B [p = 0.06]), both groups without re cidivations.
Conclusions: This study demonstrates that ETDG of saphenous venous and incompetent perfora ting is an effective treatment in sore closing with minimal complications.

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