关键词: 下肢静脉溃疡, 溃疡评估, 加压治疗, 湿性敷料

Abstract: The whole process of venous leg ulcer management                    GUO Xiang-jiang, ZHANG Lan. Department of Vascular Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
Corresponding author: ZHANG Lan, E-mail: lucky200207@ aliyun.com
Abstract    Venous leg ulcer is the end-stage manifestation of chronic venous disease of the lower limbs. The usual reasons include insufficiency of large, medium, and small veins, iliac venous compression syndrome, and post-thrombic syndrome. Infection is also the reason for the progress of non-healing ulcers. First of all, to evaluate the venous leg ulcer, including the patient's general condition, the distal blood supply of the limb, the size and location of the ulcer, exudate, infection, granulation tissue, and the condition of the skin around the ulcer. Ulcers can be objectively assessed by the CEAP classification and VCSS score system, and the influence of ulcers on patients' daily activities using the VLU-QOL and CCVLUQ scales. The treatment option includes medication, compression therapy, etiological treatment, wound debridement, and dressing selection. A four-in-one comprehensive and individualized treatment, combined with popular science and education for patients, can often achieve better clinical results.

Key words: venous leg ulcer, ulcer assessment, compression therapy, moist dressing