md-medicaldata

Authors

 

Ivan Leković¹, Aleksandar Tomić<sup>2

1</sup>Klinika za vaskularnu hirurgiju, Vojnomedicinska akademija, Beograd
²Medicinski fakultet Vojnomedicinske akademije, Univerzitet Odbrane, Beograd

 

UDK: 616.147.3-008.64(497.11)"2009/2012"

The paper was received / Rad primljen: 05.06.2024

Accepted / Rad prihvaćen: 21.06.2024.

 

Correspondence to:

Leković Ivan
e-mail: ivan.lekovic@gmail.com

 

 

Sažetak

 

 

Hronični venski ulkus (HVU) spada u najmasovnija oboljenja čovečanstva i predstavlja jednu od najtežih komplikacija hronične venske insuficijencije. Procenjuje se da u odrasloj populaciji od hroničnog venskog ulkusa boluje 1,5do 2 % ljudi, što ima veliki socijalno-ekonomski značaj. Cilj ovog ispitivanja je da se utvrde vrednosti pritiska u mišićnim odeljcima potkolenice sa hroničnim venskim ulkusom kao i vrednosti transkutanog parcijalnog pritisla kiseonika (TCPO2) u koži potkolenica u okolini venskog ulkusa. Od februara 2009 pa do marta 2012 godine  u okviru lečenja hroničnog venskog ulkusa kod grupe od 43 pacijenta primenjivano je merenje vrednosti pritiska u medijalnom mišićnom odeljku-loži, u neposrednoj blizini ulkusa kao i TCPO2 koji su poslužili kao prognostički faktori o dužini i uspešnosti zarastanja hroničnog venskog ulkusa. Primenjivane su klasične metode lečenje i praćenje i tok i dužina lečenja ulkus krurisa u odnosu na vrednosti dobijenih rezultata merenja pritiska. Prilikom merenja pritisaka u mišićnim odeljcima i PTCO2 kod pacijenata sa hroničnim venskim ulkusom, dobijene su višestruko veće vrednosti pritiska i znatno niže vrednosti TCPO2 u odnosu na vrednosti kod ljudi bez venskog ulkusa. Merenje pritiska u medijalnoj mišićnoj loži potkolenice sa HVU kao i PTCO2 može biti vrlo pouzdan pokazatelj dužine zarastanja HVU kao i stope recidiva

 

Ključne reči:

ulkus cruris, hronična venska insuficijencija, transkutani parcijalni pritisak kiseonika

 

 

 

Abstract

 

Chronic venous ulcer (CVU) is one of the most widespread diseases of humanity and represents one of the most serious complications of chronic venous insufficiency. It is estimated that in the adult population, 1.5 to 2% of people suffer from chronic venous ulcer, which is of great socio-economic importance. Objective of the study  is to determine the pressure values ​​in the muscle sections of the lower leg with chronic venous ulcer as well as the values ​​of transcutaneous partial pressure of oxygen (TCPO2) in the skin of the lower leg in the area of ​​the venous ulcer. From February 2009 to March 2012, within the treatment of chronic venous ulcer in a group of 43  of the patient, pressure values ​​were measured in the medial muscle compartment, in the immediate vicinity of the ulcer, as well as TCPO2, which served as prognostic factors for the length and success of chronic venous ulcer healing. Classical methods of treatment were applied, and the course and length of ulcer cruris treatment was monitored. in relation to the values ​​of the pressure measurement results obtained.  When measuring the pressures in the muscle compartments and PTCO2 in patients with chronic venous ulcers, several times higher pressure values ​​and significantly lower TCPO2 values ​​were obtained compared to the values ​​in people without venous ulcers. Measurement of pressure in the medial muscle bed of the calf with HVU as well as PTCO2 can be a very reliable indicator of the length of healing of HVU as well as the recurrence rate.

 

Key words:

cruris ulcer, chronic venous insufficiency, transcutaneous partial pressure of oxygen

 

 

 

 

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PDF: 04-Leković I. and Tomić A. MD-Medical Data 2024;16(2) 099-103.pdf