Comprehensive treatment method for crus lower section and ankle vein blood stasis chronic ulcer

Abstract

The invention discloses a comprehensive treatment method for crus lower section and ankle vein blood stasis chronic ulcer. In the field of varicose chronic huge ulcer, the theory of "seed-soil-worm" is proposed to explain the occurrence, development, guidance, treatment and prevention of recurrence of the disease. A 2cm incision is formed at a part 1 cm away from the rear inner side of the ulcer,ramus communicans of deep fascia of the small incision in the ulcer area is completely disconnected, the effect is good, special equipment can be avoided, the cost is low, and the operation is simpleand easy. The comprehensive treatment method includes that: after the debridement of the ulcer wound, a full-thickness skin graft is transplanted; the skin graft is covered with is smashed gauze; thick gauze winds around an injured limb; elastic bandages are used to perform pressure dressing; a plaster support is used to fix an ankle joint; the joint movement is restricted; an anti-infection measurement is performed; elastic pressure dressing is performed; the patient lies in bed for uninterrupted 3 weeks; and the injured limb is elevated after an operation; and the comprehensive treatment canimprove the survival rate of the skin graft and lower the recurrence of ulcers.

Description

technical field [0001] The invention relates to a treatment method for chronic ulcers, which belongs to the field of medical technology, in particular to a comprehensive treatment method for venous stasis chronic ulcers in lower legs and ankles. Background technique [0002] Simple saphenous varicose veins is a common peripheral vascular disease, and lower leg and ankle ulcers are one of its later complications. It is becoming more and more common as society ages. Ulcers with a smaller diameter are easier to treat, while huge ulcers with a diameter of more than 3 cm tend to be protracted. In recent years, even with minimally invasive techniques such as transilluminated powered phlebectomy (TriVex), endovenous laser treatment (EVLT), microwave radiofrequency closure, and sclerosing closure, etc. With the emergence and application of advanced technology, venous ulcers of lower extremities still face two major problems: difficult to heal and easy to recur after healing, which...

AI Technical Summary

Problems solved by technology

The traditional concept holds that the condition of the recipient area of ​​venous ulcer is poor and there is more exudation, so it is often advocated to use edge-thick skin grafts that are easy to survive, and occasionally use thin and medium-thick skin grafts for repair, but none of them can restore the full-thickness structure of the skin. Failure to achieve "complete repair", that is, part or all of the scar repair, resulting in unsatisfactory repair effect and easy recurrence

[0003] Irregular postoperative treatment, insufficient height or time for raising the affected limb, getting out of bed too early or not under the protection of elastic bandage, resulting in partial or complete necrosis of the grafted skin graft separated from the wound