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Prevalence of Venous Trophic Ulcers of the Lower Extremities at Inhabitants of the Voronezh Region
- Authors: 1, 2
-
Affiliations:
- Voronezh Regional Clinical Hospital №1, 151 Moskovskii Ave., Voronezh, 394066, Russian Federation
- Voronezh State Medical University, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation
- Issue: Vol 8, No 2 (2015)
- Pages: 248-251
- Section: Original articles
- URL: https://vestnik-surgery.com/journal/article/view/317
- DOI: https://doi.org/10.18499/2070-478X-2015-8-2-248-251
- ID: 317
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Abstract
Relevance Various forms of chronic venous insufficiency about 35 million Russians suffer. In the absence of treatment the probability of emergence of trophic ulcers in the distalnykh departments of the bottom extremities reaches 60-90%. In economically developed countries of the world of 2% of adult population have venous trophic ulcers of the bottom extremities. Treatment of trophic ulcers of the bottom extremities because of big prevalence, low tendency to healing, difficulty and high cost of treatment is the complex problem having important social value.
The purpose of the study Study prevalence of chronic venous insufficiency in the Voronezh region, to define quantity of the complicated forms of an illness (in the form of trophic ulcers of the bottom extremities).
Materials and methods Venous Trophic Ulcers methods it was studied on the basis of data of reception of patients by specialists of regional advisory policlinic, surgical activity of offices of the Voronezh regional clinical hospital No. 1, annual reports of the chief regional surgeons of the Voronezh region for 2011-2013.
Results and their discussion The disease meets less than at 1% (on average 0,25%) adult population of the city of Voronezh and the Voronezh region. Thus overwhelming number of patients from this number already have trophic ulcers. Around the world various forms of a varicose illness of veins of the lower extremities meet at 10 — 38% of the working-age population. Simple extrapolation of results of the international epidemiological researches suggests that the data obtained by us are strongly underestimated and the real picture of incidence is unknown.
Conclusion At the heart of prevention of development of venous trophic ulcers correction of chronic venous insufficiency lies. In the Voronezh region now the system of early identification of a varicose illness works insufficiently effectively. As a result of absence of information patients don't take measures on prevention of development of venous trophic ulcers. The main loading on early identification of symptoms of a disease, risk factors, formation of groups for dynamic supervision, to carrying out diagnostic, treatment-and-prophylactic actions has to lay down on surgeons of an out-patient and polyclinic link, family doctors, therapists, gynecologists of female consultations.
The purpose of the study Study prevalence of chronic venous insufficiency in the Voronezh region, to define quantity of the complicated forms of an illness (in the form of trophic ulcers of the bottom extremities).
Materials and methods Venous Trophic Ulcers methods it was studied on the basis of data of reception of patients by specialists of regional advisory policlinic, surgical activity of offices of the Voronezh regional clinical hospital No. 1, annual reports of the chief regional surgeons of the Voronezh region for 2011-2013.
Results and their discussion The disease meets less than at 1% (on average 0,25%) adult population of the city of Voronezh and the Voronezh region. Thus overwhelming number of patients from this number already have trophic ulcers. Around the world various forms of a varicose illness of veins of the lower extremities meet at 10 — 38% of the working-age population. Simple extrapolation of results of the international epidemiological researches suggests that the data obtained by us are strongly underestimated and the real picture of incidence is unknown.
Conclusion At the heart of prevention of development of venous trophic ulcers correction of chronic venous insufficiency lies. In the Voronezh region now the system of early identification of a varicose illness works insufficiently effectively. As a result of absence of information patients don't take measures on prevention of development of venous trophic ulcers. The main loading on early identification of symptoms of a disease, risk factors, formation of groups for dynamic supervision, to carrying out diagnostic, treatment-and-prophylactic actions has to lay down on surgeons of an out-patient and polyclinic link, family doctors, therapists, gynecologists of female consultations.
Keywords
About the authors
Voronezh Regional Clinical Hospital №1, 151 Moskovskii Ave., Voronezh, 394066, Russian Federation
Author for correspondence.
Email: Mashaaralova@mail.ru
Ph.D., Head Department of outpatient surgery Voronezh Regional Clinical Hospital №1
Voronezh State Medical University, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation
Email: admin@vestnik-surgery.com
PhD, assistant Professor General Surgery Department N.N. Burdenko Voronezh State Medical University
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