YANG Yong 1 , YANG Guokai 1 , HE Xiaoming 1 , LU Ping 1 , XU Xiong 2 , MA Zhenhuan 1 , QIAN Tengfei 2 , LI Guojian 1 , WAN Jia 1 , YANG Guang 1
  • 1.Department of Vascular Surgery， The Fourth Affiliated Hospital of Kunming Medical College (The Second People’s Hospital of Yunnan Province) &;
  • Yunnan Provincial Center of Vascular Surgery, Kunming 650021, China;;
  • 2.Honghe Affiliated Center of Yunnan Provincial Center of Vascular Surgery, Mengzi 661100, Yunnan Province, China;
Lower limb; Vein; Ulcer; Percutem transilluminated with negative pressured on the potaried technique; Treatment; Curative effect
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Objective  To assess the curative effect of percutem transilluminated with negative pressured on the potaried technique on the treatment of venous ulcer in lower extremity. Methods  The clinical date of 300 cases involving 300 legs with venous ulcer in lower extremity， who underwent the percutum transilluminated negative pressured potaried technique using TRIVEXTM Ⅱ potaried system or the percutum transfixion surgical treatment from October 2005 to June 2009, were analyzed. Three hundred cases were randomly divided into potaried group and transfixion group. In potaried group, there were 190 cases involving 190 legs treated with TRIVEXTM Ⅱ potaried system. In transfixion group, 110 cases involving 110 legs treated with percutum transfixion. The clinical indexes of skin infection rate and skin necrosis rate, shrinkage rate of wound area and skin depigmentation rate, ulcer healing rate and ulcer recurrence rate were calculated to assess the clinical curative effect on day 5, day 20, day 120 and day 360 after operation respectively. Results  The rates of skin infection and skin necrosis were significantly decreased in potaried group compared with transfixion group on day 5 after operation (P＜0.05), the rates of shrinkage of wound area and skin depigmentation were significantly increased in potaried group compared with transfixion group on day 20 (P＜0.05). The ulcer healing rate was not significantly different between the two groups on day 120 (P gt;0.05). Ulcer recurrence rate was remarkably lower in potaried group than that in transfixion group on day 360 (P＜0.05). Conclusion  It can be concluded that　percutem transilluminated with negatived pressured on the potaried technique with TRIVEXTM Ⅱ potaried system can efficiently promote the　healing of venous ulcer in the lower extremity, and at the same time it has an ascendancy in lessening skin infection and skin reinjury.

Citation： YANG Yong,YANG Guokai,HE Xiaoming,LU Ping,XU Xiong,MA Zhenhuan,QIAN Tengfei,LI Guojian,WAN Jia,YANG Guang. Assessment and Curative Effect of Percutem Transilluminated with Negative Pressured on The Potaried Technique on Treatment of Venous Ulcer in Lower Extremity. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(12): 996-999. doi: Copy