METHOD FOR DETERMINING INDICATIONS FOR SELECTING METHOD FOR TREATING THE CASES OF CHRONIC VENOUS INSUFFICIENCY Russian patent published in 2002 - IPC

FIELD: medicine. SUBSTANCE: method involves recording the following values. Soft tissue inflammation manifestation degree evaluation A and parameter A describing shin inflammation manifestation degree are determined from available soft tissue infiltrations in the vicinity of trophic ulcer under ultrasonic examination. The soft tissue infiltration manifests itself through an area of increased echogenicity of uniform structure. No infiltration as an area of increased echogenicity of uniform structure located under the ulcer being detected, the parameter is estimated by rank 1. Infiltration signs being detected, rank 2 is assigned. Clinical evaluation of trophic crural ulcer B and parameter B as clinical evaluation of trophic ulcer state are determined as a result of examination according to perifocal inflammation manifestation degree and fibrin availability on the ulcer. No perifocal inflammation manifestation and fibrin availability on the ulcer being detected, rank 1 is assigned. Perifocal inflammation and fibrin availability on the ulcer being detected, rank 2 is assigned. Measuring tissue distance between crus surface and the proper crus muscle fascia surface C and parameter C as measurement of tissue distance between crus surface and the proper crus muscle fascia surface is carried out under ultrasonic examination using distant markers set on the crus surface and the proper crus muscle fascia surface. Tissue thickness between crus surface and the proper crus muscle fascia surface being less than 20 mm is estimated with rank 1. The value being greater than 20 mm, rank 2 is assigned. Measuring tissue distance between crus fascia envelope surface and the proper crus muscle fascia surface D and parameter D as measurement of tissue distance between crus fascial envelope surface and the proper crus muscle fascia surface is carried out under ultrasonic examination using distant markers set on the proper crus fascia surface and the fascial crus envelope. Proper crus fascia and perimysium thickness being less than 5 mm, rank 1 is assigned. The value being greater than 5 mm, rank 2 is assigned. The values are expressed in conditional ranks. Rank sum being from 4 to 6, endoscopic dissection of insufficient crural perforated veins is considered to be indicated. The sum being equal to 7 to 8, conservative therapy is considered to be advisable. EFFECT: high accuracy of diagnosis; improved treatment results.