KMID : 1037020170060010029
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Medical Lasers; Engineering, Basic Research, and Clinical Application 2017 Volume.6 No. 1 p.29 ~ p.31
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Clinical Experience of an Effective Treatment of Intractable Chronic Venous Ulcer on the Lower Leg Using Dual-Frequency Ultrasound
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Choi Yean-Su
Nam Seung-Min Park Eun-Soo
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Abstract
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We report a case of intractable venous ulcer that was effectively treated by using local dynamical micro-massage (LDM¢ç-MED; Wellcomet, Karlsruhe, Germany). A 43-year-old male visited a hospital with chief complaint of painful wound on his left lower leg. The patient crashed his leg against a bicycle, and the wound has not recovered for the past 6 months. There were many features indicating venous ulcer, such as edema, hyperpigmentation, eczematous changes with erythema, and obesity. Despite our attempt of surgical intervention, involving debridement and split thickness skin graft, the raw surface had not cured completely. We applied LDM to the wound to activate the healing process by modulating the activity of matrix metalloproteinases and heat shock proteins. The result was impressive. After 21 LDM treatments in a 5 week period, the wound was totally re-epithelized, and the patient no longer felt pain.
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KEYWORD
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Venous ulcer, Compression bandage, Ultrasound
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