PECULIARITIES OF PERIPHERAL HAEMODYNAMICS IN PATIENTS WITH VARICOSE DISEASE OF LOWERLIMB VEINS COMPLICATED BY TROPHIC ULCERS

Koshkin V.M., Karalkin A.V., Nastavsheva O.D., Bogdanets L.I., Guirina M.B., Sinyakin K.I.
Clinic of Faculty Surgery under the Russian State Medical University
Moscow, Russia

The work was dedicated to studying local, regional and systemic circulatory disorders in patients suffering from varicose disease of the lower extremities veins with accompanying trophic ulcers. The possibility of performing this .work was determined by a diagnostic complex possessing high informative value (especially it concerns studying microcirculation). Based on the obtained findings we managed not only to evaluate severity of microcirculatory disorders but also to characterize them qualitatively, in particular to reveal the socalled blood microshunting phenomenon. Pathophysiologically important is the development of inflammatory hyperaemia in the area of trophic ulcers, which is prognostically favourable for their healing. Proceeding from the abovementioned, utterly true turned out the conclusion concerning the necessity to include microcirculationimproving pharmaceutical substances into the program of treatment of patients suffering from varicose disease of the lowerlimb veins, especially those presenting with concomitant trophic ulcers, along with surgical intervention.

KEY WORDS: microcirculation, peripheral haemodynamics, trophic ulcers, microshunting of blood, radiopharmaceutical substance.

P.83

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