Periulcerous suturing for chronic deep venous thrombosis
10.3760/cma.j.issn.1007-631X.2009.11.014
- VernacularTitle:溃疡周围缝扎术治疗慢性阻塞性静脉功能不全并发的下肢溃疡
- Author:
Peng ZHANG
;
Shuguang GUO
;
Xingli ZHOU
;
Wei FANG
;
Cunping YIN
;
Cuiju CHEN
- Publication Type:Journal Article
- Keywords:
Venous insufficiency;
Vascular surgical procedures;
Chronic ulceration;
Deep vein thrombosis
- From:
Chinese Journal of General Surgery
2009;24(11):908-910
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of periulcerous suturing on the healing of skin ulceration in patients with chronic deep venous thrombosis. Methods Thirty-two patients were divided into two groups: control group treated with drugs and compression therapy; suturing group treated with drugs, compression therapy and skin suturing around the ulceration. The clinical data of these cases were retrospectively studied. Result In the suturing group, perforator veins (1.0±0.8) decreased, oxygen saturation of venous blood (39±7) mm Hg and transeutaneous oxygen monitoring (tcPO_2) (71±12)mm Hg were elevated, the number of mitochondrion increased and white cell infiltration decreased, the figure of rough surfaced endoplasmic reticulum recovered, ulcer healing (12±6) d quickened and recrudescence (12.5%) lessened after treatment. All differences were statistically significant when compared with those in the control group (P<0.05). Conclusion Suturing around the ulceration can lighten blood stagnation and inflammatory cell infiltration, improve dystrophy and oxygen supply of the tissue, shorten the period of ulcer healing. It is a simple, good therapeutic and economical method to cure ulcer and can decrease the recurrent rate with physiotherapy.
