Comprehensive treatment of patients with lower limb postthrombotic disease

The study was aimed to optimize the treatment of patients with the postthrombotic disease (PTD) of the lower limbs by means of a differentiated approach. 152 patients with the postthrombotic disease of the lower limbs were enrolled in the study. Depending on a clinical case, vascular bed patency (the presence and character of recanalization), valve apparatus viability, all patients were subjected to the conservative treatment or operative interventions combined with the conservative treatment. Laboratory and instrumental investigative methods were applied (Doppler ultrasound study, duplex angioscanning). Clinical efficacy assessment of the conducted treatment was carried out using a clinical scoring scale and a visual analogue scale (VAS). Digital material was statistically treated using standard packages of application software Statistica-10.0. As a result of the conducted research it has been established that carrying out operations aimed to eliminate the horizontal and the vertical reflux, use of wound dressings for the treatment of trophic ulcers as well as special treatment methods of ulcer surface in the comprehensive treatment of patients with PTD permits to reduce the number of septic complications, creates favorable conditions for the early closure of ulcers, reduces treatment time and permits to restore quicker the ability to work. One may achieve effective treatment results for PTD patients only using pathogenetically grounded methods with the elimination of reflux causes. The performed studies have shown that treatment of PTD patients should be individual and comprehensive; aimed to correct existing hemodynamic disturbances; restoration of the "muscular-venous" pump function; arrest of clinical symptoms and trophic disturbances.