CLINICAL AND MORPHOLOGICAL EVALUATION OF THE EFFICIENCY OF THE TREATMENT OF TROPHIC ULCERS ON THE BACKGROUND OF DIABETIC STOP SYNDROME
A clinical and morphological study of trophic ulcers in diabetic foot syndrome was analyzed. On the basis of the data obtained, conclusions were drawn about important factors of the occurrence of trophic ulcers and the effectiveness of wound cleaning with the Versajet hydrosurgical system. The main structural changes that were present in the dynamics of healing of trophic ulcers before necrotomy, immediately after cleaning the wound and on the 8th day after the necrotomy were determined. The area of the wound surface was calculated, on average, a component of 6.5 cm2, the average duration of the course of the disease of diabetes mellitus was 10.2 ± 2.1 years. Factors are indicated, including those of a genetic nature that affect the speed and quality of healing of a tissue defect and, ultimately, the phase of connective tissue organization and epithelialization.