ANALYSIS OF TREATMENT OPTIONS FOR STASIS DERMATITIS

Abstract

im: 1) To analyze the effectiveness of various treatment methods for stasis dermatitis. 2) To evaluate the effectiveness of various components of conservative therapy. Methods: 80 patients (52 women and 28 men) aged 43 to 82 years old with CEAP class C4a varicose veins of the lower extremities, complicated by stasis dermatitis, were enrolled in the study. The patients were divided into two groups of 40 people each, comparable in terms of the main clinical and anamnestic data. The patients of the first group underwent surgical elimination of pathological reflux followed by conservative therapy. In patients of the second group surgical intervention was postponed or contraindicated. Patients of the second group were randomly divided into two subgroups of 20 patients using a random number generator. Patients of the second group received various options of conservative therapy. Results: In the first group, 34 patients (85%) showed complete remission of stasis dermatitis in the control periods, in 6 patients (15%) the area decreased to 11mm2. In subgroup 2A, complete remission was observed in 13 patients (65%). In the rest (7) the affected area was 13.8±mm2. In subgroup 2B, complete remission was not observed. The affected area averaged 14.1±mm2. Conclusions: The best result in the treatment of stasis dermatitis was observed in the group that received surgical treatment followed by conservative therapy. In two subgroups receiving conservative therapy, the subgroup treated with venotonics, showed the best clinical result. The study confirms the need for an integrated approach to the treatment of chronic venous insufficiency complicated by stasis dermatitis.