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

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.

[ISSN]0513-1731

[NCID]AN00243156