Chronic Venous Ulcer

Walid A.M. Ganod
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Abstract

This research review is endeavoring to shed the light on the cause and effect of Chronic Venous Ulcer (CVU) in line with its therapeutic procedures. In the last two decades, a lot of the changes occurred in strategy of wound management through developing adjunctive therapy that supported wound healing. Eventually, the latest development was in platelet concentration technology produced the platelet-rich fibrin (PRF). It was categorized as the 2nd generation of platelet concentration family after Platelet Rich Plasma (PRP). Considering that Venous Leg Ulcers (VLUs) accounted for 70% of all leg ulcers and estimated one percent of the population where age as an essential factor has increased its prevalence. The chronicity and refractory nature of venous ulcer had a great effect on the quality of life and work productivity of patients apart from, the expenditure of significant amount of medical resources and efforts. Therefore, the ultimate goal of (VLU) management was to induce a rapid healing without recurrence which mainly helped to improve the quality of life (QoL). The first therapeutic procedure used in treatment of VLU was compression therapy where the application of effective graduated compression decreased the overload in venous system and venous reflux. Furthermore, it accelerated the capillary of blood flow and decreased the capillary of fluid leakage which in return alleviated the limb edema.
慢性静脉性溃疡
本研究综述旨在阐明慢性静脉性溃疡(Chronic Venous Ulcer, CVU)的病因和影响及其治疗方法。在过去的二十年中,通过开发辅助治疗来支持伤口愈合,伤口管理策略发生了许多变化。最终,血小板浓缩技术的最新发展产生了富血小板纤维蛋白(PRF)。它被归类为富血小板血浆(PRP)之后的第二代血小板浓度家族。考虑到静脉性腿部溃疡(VLUs)占所有腿部溃疡的70%,估计占人口的1%,其中年龄作为一个基本因素增加了其患病率。静脉性溃疡的慢性和难治性不仅对患者的生活质量和工作效率产生了很大的影响,而且耗费了大量的医疗资源和精力。因此,VLU治疗的最终目标是诱导快速愈合而不复发,这主要有助于提高生活质量(QoL)。第一个用于治疗VLU的治疗程序是压迫治疗,其中应用有效的渐进式压迫减少了静脉系统的负荷和静脉回流。此外,它还能加速毛细血管血流,减少漏液毛细血管,从而减轻肢体水肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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