CLINICAL FEATURES AND INTEGRATED APPROACH TO THE TREATMENT OF TROPHIC ULCERS
Venous trophic ulcers are a complex and serious problem that affects 1-2 % of the world’s elderly population over the age of 65, and their incidence is constantly increasing. Venous ulcers account for the majority of all chronic ulcers of the lower extremities. The population with an increased risk of venous ulcers is the elderly. Venous trophic ulcers have a significant negative impact on patients’ quality of life. The problem of venous ulcers remains topical in modern medicine. The study established the clinical features of venous ulcers. The causes of venous ulceration are not fully studied but the risk factors leading to this pathology are such diseases as varicose veins of the lower limbs and post-thrombotic disease (PTB). The total duration of venous ulcerous defects in patients ranges from 2 months to 10 years. In the majority of patients the healing time of trophic ulcers is about two to four months, in some patients they do not heal for years. Relapses during conservative treatment are possible and observed. The area of the ulcerous defects varies among the patients and varies from 1 cm2 to more than 14 cm2. Localization of trophic ulcers varies, but they are mainly presented on the anterior surface of the tibia. The article presents the results of combined treatment methods of trophic ulcers of venous etiology.