Multiple Physiological Indices in the Management of Chronic Leg Ulcers

Abstract

Transcutaneous oximetry (TcPo₂), laser Doppler flowmetry (LDV) and arterial Doppler index (DI) have been used to predict healing in 20 patients with chronic leg ulcers. This study showed that patients with improving or healed ulcers had significantly higher TcPo₂ levels adjacent to the ulcer (P < 0.02) and lower LDV (P < 0.05) and a tendency to higher DI than worsening or static ones.

Keywords

chronic leg ulcer laser Doppler flowmetry prediction of healing

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References

Reddy

P.J.

Berent

G.A.

Dormandy

J.A.

Ankle transcutaneous Po₂ levels in varicose vein patients with and without trophic changes. In Phlebology '85. ed. Negus

Jantet

, pp. 347–351. London: John Libbey and Co. 2 Ltd, 1986.

Clyne

C.A.C.

Ramsden

W.H.

Chant

A.D.B.

Webster

J.H.H.

Oxygen tension on the skin of the gaiter area of limbs with venous disease. Br J Surg 1985; 72: 644–647.

Mani

Creevy

White

J.E.

Transcutaneous measurements of oxygen tension and its significance in the healing of leg ulcers treated with an oxygen impermeable dressing. In An environment for healing: the role of occlusion. ed. Ryan

TJ.

, pp. 85–92. London: Royal Society of medicine, 1985. (RSM International Congress and Symposium Series No. 88.)

Karanfilian

R.G.

Lynch

T.G.

Zirul

V.T.

Padberg

I.T.

Jamil

Hobson

R.W.

The value of laser Doppler velocimetry and transcutaneous oxygen tension determination in predicting healing of ischaemic forefoot ulcerations and amputations in diabetic and nondiabetic patients. J Vasc Surg 1986; 4: 511–516.

Tenland

On laser doppler flowmetry — Methods and microvascular applications. Linkoping University Medical dissertations No. 136. 1982.