Ulceras venosas crónicas, tratamiento con eco esclerosis
The echosclerosis, in the treatment of ulcers, allows resolving the persistence of chronic ulcers in patients with venous insufficiency. The objective of the present work is to determine the efficacy of the use of echosclerosis, healing times and progression in the healing of ulcers. Teraso...
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/38939 |
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I10-R327-article-38939 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
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R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
echosclerosis ulcera crónica de miembros inferiores ECOESCLEROSIS . |
| spellingShingle |
echosclerosis ulcera crónica de miembros inferiores ECOESCLEROSIS . Sanchez Carpio , C Moya Encinas , N Bolcato, E Ulceras venosas crónicas, tratamiento con eco esclerosis |
| topic_facet |
echosclerosis ulcera crónica de miembros inferiores ECOESCLEROSIS . |
| author |
Sanchez Carpio , C Moya Encinas , N Bolcato, E |
| author_facet |
Sanchez Carpio , C Moya Encinas , N Bolcato, E |
| author_sort |
Sanchez Carpio , C |
| title |
Ulceras venosas crónicas, tratamiento con eco esclerosis |
| title_short |
Ulceras venosas crónicas, tratamiento con eco esclerosis |
| title_full |
Ulceras venosas crónicas, tratamiento con eco esclerosis |
| title_fullStr |
Ulceras venosas crónicas, tratamiento con eco esclerosis |
| title_full_unstemmed |
Ulceras venosas crónicas, tratamiento con eco esclerosis |
| title_sort |
ulceras venosas crónicas, tratamiento con eco esclerosis |
| description |
The echosclerosis, in the treatment of ulcers, allows resolving the persistence of chronic ulcers in patients with venous insufficiency. The objective of the present work is to determine the efficacy of the use of echosclerosis, healing times and progression in the healing of ulcers.
Terason 3200 ultrasound, polidocanol sclerosant in concentrations of 2 to 3%, 50/8 needles, elastic bandage and coban were used. 40 patients of both sexes, ages 62 to 78 years (2021-2022) with active chronic venous ulcers (greater than 6 months) with diameters between 2 cm and 7 cm. This is an observational - prospective study. The protocol used includes clinical evaluation, physical examination ; location of varicose gulfs, insufficient perforators, measurement of ulcer diameter and CEAP classification. Excluded from the study are anticoagulated patients, acute phlebitis, arterial and/or combined ulcers, and those with active infected venous ulcers. Guided puncture with sclerosant with foam 1/4, Tessari Method in compromised vein with compressive bandage, control and evaluation of the patient at 3, 7, 15, 30 and 60 days was performed.
In 75%, a decrease in diameter between 1 and 2 cm was observed at 30 days d, in 10% complete closure of the ulcer in the same time and in 15% persistence of the ulcer.- In 90% of these cases, complete closure was achieved at 90 days; in the remaining 10% the process required more time due to greater associated trophic disorders, greater evolutionary data and, in some patients, to the persistence of recanalized perforators.
The results obtained allow us to objectify the efficacy in the treatment of chronic ulcers, mainly in those of larger size and greater trophic involvement. Healing times and progression were on average less than those of other studies (1) with a difference of 2+/- 3 cm at 30 days.
(1) P.F. Lawrence, A. Alktaifi, D. Rigberg, B. DeRubertis, H. Gelabert, J.C. Jimenez.- Endovenous ablation of incompetent perforating veins is effective treatment for recalcitrant venous ulcers.- J Vasc Surg., 54 (2011), pp. 737-742 |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/38939 |
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AT sanchezcarpioc ulcerasvenosascronicastratamientoconecoesclerosis AT moyaencinasn ulcerasvenosascronicastratamientoconecoesclerosis AT bolcatoe ulcerasvenosascronicastratamientoconecoesclerosis |
| first_indexed |
2024-09-03T21:03:46Z |
| last_indexed |
2024-09-03T21:03:46Z |
| _version_ |
1809210331813117952 |
| spelling |
I10-R327-article-389392024-04-15T16:14:45Z Ulceras venosas crónicas, tratamiento con eco esclerosis Sanchez Carpio , C Moya Encinas , N Bolcato, E echosclerosis ulcera crónica de miembros inferiores ECOESCLEROSIS . The echosclerosis, in the treatment of ulcers, allows resolving the persistence of chronic ulcers in patients with venous insufficiency. The objective of the present work is to determine the efficacy of the use of echosclerosis, healing times and progression in the healing of ulcers. Terason 3200 ultrasound, polidocanol sclerosant in concentrations of 2 to 3%, 50/8 needles, elastic bandage and coban were used. 40 patients of both sexes, ages 62 to 78 years (2021-2022) with active chronic venous ulcers (greater than 6 months) with diameters between 2 cm and 7 cm. This is an observational - prospective study. The protocol used includes clinical evaluation, physical examination ; location of varicose gulfs, insufficient perforators, measurement of ulcer diameter and CEAP classification. Excluded from the study are anticoagulated patients, acute phlebitis, arterial and/or combined ulcers, and those with active infected venous ulcers. Guided puncture with sclerosant with foam 1/4, Tessari Method in compromised vein with compressive bandage, control and evaluation of the patient at 3, 7, 15, 30 and 60 days was performed. In 75%, a decrease in diameter between 1 and 2 cm was observed at 30 days d, in 10% complete closure of the ulcer in the same time and in 15% persistence of the ulcer.- In 90% of these cases, complete closure was achieved at 90 days; in the remaining 10% the process required more time due to greater associated trophic disorders, greater evolutionary data and, in some patients, to the persistence of recanalized perforators. The results obtained allow us to objectify the efficacy in the treatment of chronic ulcers, mainly in those of larger size and greater trophic involvement. Healing times and progression were on average less than those of other studies (1) with a difference of 2+/- 3 cm at 30 days. (1) P.F. Lawrence, A. Alktaifi, D. Rigberg, B. DeRubertis, H. Gelabert, J.C. Jimenez.- Endovenous ablation of incompetent perforating veins is effective treatment for recalcitrant venous ulcers.- J Vasc Surg., 54 (2011), pp. 737-742 La ecoesclerosis guiada, en el tratamiento de ulceras permite resolver en la persistencia de ulceras crónicas en pacientes con insuficiencia venosa. El objetivo del presente trabajo es determinar la eficacia del uso de la ecoesclerosis, tiempos de cicatrización y progresión en la cicatrización de las ulceras Se utilizo ecografo terason 3200, esclerosante polidocanol en concentraciones de 2 al 3 %, agujas 50/8, venda elástica y coban. Se trataron 40 pacientes de ambos sexos, edades entre 62 a 78 años (2021-2022). Con ulceras venosas activas, crónicas (mayor a 6 meses) de diámetros entre 2 cm a 7 cm.. Se realizo un estudio observacional - prospectivo. El protocolo utilizado, incluye evaluación clínica, examen físico con localización de golfos varicosos, perforantes insuficientes, medición de diámetro de ulcera y clasificación CEAP. Quedan excluidos del estudio pacientes anticoagulados, flebitis aguda ulcera arterial y/o combinada y aquellos con ulcera venosa activa infectada. Se realizó punción guiada con esclerosante con espuma 1/4, Método Tessari en vena comprometida con vendaje compresivo, control y evaluación del paciente a los 3, 7, 15, 30 y 60 días. En 75 % se observo una disminución de los diámetros entre 1 a 2 cm a los 30 días d, en el 10% cierre completo de ulcera en el mismo tiempo y en el 15 % persistencia de ulcera. En el 90% de esos casos se logro cierre completo a los 90 días en el 10 % restante el proceso requirió mas tiempo debido a mayores trastornos trófico asociados, mayor data evolutiva y en algunos pacientes a la persistencia de perforantes recanalizadas. Los resultados obtenidos nos permiten objetivar que la eficacia en el tratamiento de ulceras crónicas, principalmente en aquellas de mayor tamaño y mayor compromiso trófico. Los tiempos y progresión en la cicatrización fueron en promedio menores a los de otros estudios realizados (1) con una diferencia de 2+/- 3 cm a los 30 dias. (1) P.F. Lawrence, A. Alktaifi, D. Rigberg, B. DeRubertis, H. Gelabert, J.C. Jimenez.- Endovenous ablation of incompetent perforating veins is effective treatment for recalcitrant venous ulcers.- J Vasc Surg., 54 (2011), pp. 737-742 . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto . https://revistas.unc.edu.ar/index.php/med/article/view/38939 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |