Photodynamic therapy’s effectiveness in combined treatment of patients with venous stasis ulcers

Results of examination and combined treatment of 112 patients with C6 class chronic venous diseases were analysed. 67 patients from group I (59,8%) were treated by photodynamic therapy. 45 patients (40,2 %) from group II were treated by standard methods. Estimation of long-term results of combined treatment was performed within 3 monthes to 3 years. Photodynamic therapy allowed shortening preoperation period more than three-fold and to perform autodermoplasty of venous stasis ulcers at group I at 5,1±0,8 day. Complete engraftment of autodermotransplant was observed in 74,6 % of patients at the group I and in 46,5 % at group II. Photodynamic therapy appears to be effective, pathogenetically substantiated non-invasive method of local treatment as well as optimization of preoperative preparation of trophic ulcers in patients with chronic venous diseases of С6 clinical class. Photodynamic therapy is considered to manifest marked antibacterial effects and improve microcirculation and reepithelialization.