Clinical Study On Taohong Siwu Decoction Combined With Surgery In Treating Venous Ulceration Of Lower Extremity

Objective:To investigate the therapeutic effect and mechanism of taohongsiwu decoction combined with surgery in treating venous ulceration of lower extremity, and to provide a new effective treatment for venous ulceration of lower extremity.Methods:60 cases of venous ulceration were divided into two groups randomly. The study group (30 patients) changes the dressing of the wounded area with taohongsiwu decoction fumigation preoperation and the control group (30 patients) changes the dressing of the wounded area with traditional dressing preoperation. Two groups change the dressing two times a day preoperation. To observe the wound healing time and bacterial culture between the two groups. All patients underwent venous anterograde visualization, to define the scope and extent of the damage of deep vein, superficial vein and perforating vein. Compare the positive rates of incompetent perforator veins by the examination of color doppler ultrasonography and venous anterograde visualization, to precise localization of incompetent perforator veins. To deal with the deep vein, superficial vein and perforating vein properly by surgery.Results:The clinical result show:the total effective rate of study group and control group is 100.0 per and 73.3 per respectively. The difference was significant (P<0.05). Ulcer healing and bacteriostasis in study group were better than control group. There were significant difference between two groups (P<0.05).There were no significant different in the positive rates incompetent perforator veins between the two methods of detection (P> 0.05). The two groups can improve the clinical symptoms and signs in treating venous ulceration of lower extremity in postoperative, no complications. The study group can improve the clinical symptoms and signs better than the control group.Conclusion:1,Taohongsiwu decoction fumigate the wound is an effective applicatin for wound healing, which is better than traditional dressing methods in treating patients with lower extremity. It can shorten the wound healing time, create favorable conditions for the operation.2,Taohongsiwu decoction combine with surgery can improve the clinical symptoms and signs in treating venous ulceration of lower extremity, which is a new effective treatment for venous ulceration of lower extremity.