Compression Therapy for The Treatment of Venous Leg Ulcers: A Clinical Study

作者
Nabil Mansour Ali,Emad El-Den Abdel-Hafiz,Hussein Elgohary,Mohammed Mohammed,Haitham S. Afifi
出处
期刊:Benha Medical Journal [Medknow]
标识
DOI:10.21608/bmfj.2023.202977.1793
摘要

Background: Venous leg ulcers (VLUs) are described as open lesions that develop between the knee and ankle joint in the presence of venous illness. This study's objective was to detect compression therapy influence on active VLUs healing in chronic VLUs patients. Methods: This study was carried out on a group of 50 patients who were treated with compression therapy. Patients were subjected to diagnostic duplex ultrasound assessment, the lower extremity deep and superficial venous systems, either unilateral or bilateral (according to the patient complaint) were examined by an imaging specialist using 7.5-9 MHz linear probe. Results: 25 to 65 years old was the age range with a mean ± SD of 42.9 ± 12.05 years. There were 20 (40%) males and 30 (60%) females. The median ulcer area was 80.5 with an IQR of 34.25 – 134. Ulcer duration ranged from 4 to 7 with a mean ± SD of 5.5 ± 1.22. Regarding healing, 2 (4%) patients achieved no healing, 5 (10%) patients achieved incomplete healing and 43 (86%) patients achieved complete healing. Regarding quality of life, 24 (48%) patients had negative quality of life, no patients had hematoma, 10 (20%) patients had delayed mobilization and 16 (32%) patients had pain. Conclusions: Treatment for VLU that is remarkably efficient is compression therapy. When using this treatment approach with VLUs, caution should be used. From the perspective of clinical treatment, research shows that compression systems are successful in helping patients recuperate, and a four-layer system may yield a positive outcome.

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