[Hemodynamic characteristics and priority of blood refluxes in genesis of trophic ulcers in patients with varicose disease of lower extremities].

An analysis of results of complex examination of 75 patients with varicose disease and trophic ulcers has shown that in 81.4% of the patients the main hemodynamic factor resulting in the development of ulcers was highly intensive total-subtotal reflux of blood along the superficial veins, and in 9.3% it was the highly intensive profound reflux along the posterior tibial veins. In 9.3% of the patients the priority of blood reflux was not established. Trophic ulcers were developing under the influence of low intensity refluxes of blood in the superficial, profound veins and perforators in elderly patients against the background of heart failure.