ОPTIMIZATION OF TREATMENT OF PATIENTS, SUFFERING CHRONICAL WOUNDS
Efficacy of the autologous рlatelet-rich plasma (PRР) application for the surgical treatment results improvement inpatients, suffering durably unhealing wounds, was analyzed. There were 22 patients tsexamined and admitted to surgical department for the lower extremities durably unhealing wounds. The lower extremities skin wounds have had diameter no more than 8 cm, various etiology, сaused by chronic venous insufficiency (CHVI, the group I) and diabetic angiopathy (the group II). In the comparison group the chronic wounds etiology was the same. Autologous PRP was applied in complex of treatment in the patients of group I and group II. During a day the wound square reduction, determined using a contact planimetry method, have constituted in the group I patients (5.1 ± 0.6)% at average, in group II – (4.8 ± 0.7)%, and in the comparison group – (1.8 ± 0.4)% (р < 0.005). The wounds healing acceleration in the patients of group I and group II, in relation tosuch, achieved in the comparison group, was noted. Complete epithelization of the wound during follow-up was achieved in 6 (75%) patients of group I, in 5 (62.5%) – of group II, and in 2 (33.3%) – of the comparison group.
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