Hasan UNCU, Ümit HALICI, Mehmet ACIPAYAML, Levent ALTLNAYL, M. Hakan ZORZ

Venöz Ülser Tedavisinde Unna Bandajı Uygulaması: Otuz Hastanın Değerlendirmesi

Amaç: Bu prospektif çalışma ile kliniğimizdeki Unna bandajı uygulamalarımızda elde ettiğimiz verileri değerlendirmeyi amaçladık. Gereç ve Yöntemler: Nisan 2007 Ağustos 2011 arasında venöz ülser şikayeti ile başvuran 1'i kadın, 29'u erkek toplam 30 hasta (23--56 yaşları arasında, ortalama 33,5) çalışmaya alındı. Tüm hastalara Unna bandajı uygulandı. Unna bandajı ile birlikte günde iki kez kalsiyum dobesilat 500 mg tablet verildi. Yara iyileşmesini takiben tedaviye diz altı orta basınçlı varis çorabı, kalsiyum dobesilat ile devam edildi. Bulgular: Ülserler 23 (%76) hastada medial malleol çevresinde, (%0.06) hastada diz altında yaygın, (%0.06) hastada tibia orta bölgesinde, (%0.06) hastada tibia 1/3 distal ve medial malleol çevresine yayılmış ve (%0.03) hastada lateral malleol proksimalindeydi. Hastaların ülserli geçirdiği süre 1,5 ile 168 (ortalama 25,2) aydı. Olgulara ile kür (ortalama 2,13) Unna bandajı uygulandı. Yedi olguda (%24) Unna bandajı uygulanan bölgede ciltte kuruluk ve kaşıntı ile seyreden dermatit görüldü. Ülser nüksü gözlenen (%13) olgu Unna bandajı ile tedavi edildi. Hastaların takibi sırasında Unna bandajının erken dönemde çıkarılmasının gerektiği hasta olmadı. Sonuç: Kronik venöz ülser tedavisinde Unna bandajının, uygulanması ve temininin kolay, tedavi maliyetlerinin düşük, minimal komplikasyona sahip olması, arteriyel hastalığın da bulunduğu olgularda diğer kompresyon yöntemlerine göre daha güvenli olması ve diğer yöntemlerden etkinlik açısından birfarkının bulunmaması dolayısıyla akılda bulunması gereken bir yöntem olduğunu düşünmekteyiz.

Unna Boot in Venous Ulcer Treatment: Evaluation of 30 patients

Aim: We aim to evaluate the results of the Unna boot practice with this prospective study. Material and Methods: This study included total of 30 patients (1 female, 29 male; ages 23—56, mean 33.5) admitted to outpatient clinic with chronic venous leg ulcers. All patients were treated with Unna's boot. This treatment combined with oral calcium dobesilat 500 mg tabletorally twice day. As the ulcer was healing, the treatment continued with calcium dobesilate tablets and compression stockings. Results: Ulcer placement was as follows: around medial malleol 23 (76%); widespread below knee (0.06%); mid-tibial region (0,06%); tibia 1/3 distal region plus medial malleol (0,06%), around lateral malleol (0,03%) patient. Ulcer duration was between 1.5—168 months (mean 25,2). Unna boot was applied between 1—6 times (mean 2.13). Seven (24%) patients had dermatitis manifested with skin dryness and pruritis at Unna boot applied skin region. Four patients had ulcer recurrence and treated with Unna boot. Conclusion: We think that Unna bandage usage in chronic venous ulcus treatment must be taken into consideration because this treatment method is easy to supply and be applied, low cost of treatment, minimal complication rate and it can be performed effectively and more safely than other treatment modalities in patients with arterial disease.

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