title: [Optimization of diagnostic-curative algorhythm in patients, suffering venous insufficiency in stage of trophic changes and ulcers].
abstract: The diagnosis and treatment of trophic changes and ulcers of the shin skin in patients, suffering chronic venous insufficiency constitutes an important problem of modern phlebology and surgery. According to the data of investigation of the superficial venous pressure indices, subfascial intratissue pressure, the ankle joint movements amplitude, markers of endotoxicosis there were established their significant changes in the presence of cutaneous trophic affection and ulcers (clinical class C4-C6 according to the CEAP classification) comparing with such in patients without them (clinical class C2-C3). The algorhythm of diagnostic and curative tactics was proposed, basing on analysis of those data, reflecting important pathogenetic mechanisms of the disease, microbiologic specter of the trophic ulcers content and also of the efficacy studying results of endoscopic subfascial transsection of the shin veins.
authors.forename: M B
authors.initials: MB
authors.lastname: Soloviĭ
mesh_terms: D000465:Algorithms; D003937:Diagnosis, Differential; D018450:Disease Progression; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D014689:Venous Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*