Les ulcères veineux : bilan diagnostique et options thérapeutiques

Leg ulcers are a common problem, with an estimated prevalence between 1 and 2% of the adult population. Despite advances in the treatment of superficial venous insufficiency and the prevention of venous thromboembolic disease, leg ulcers will remain a major public health problem, particularly as a result of an aging population and increased Prevalence of obesity and diabetes. This pathology is responsible for a very poor quality of life for the patient and an extremely high cost for the community. The diagnosis is largely clinical. Explorations are mostly non-invasive and dominated by venous Doppler ultrasound and the measurement of ABI. Apart from dressing, the treatment always includes compression, usually by compression bandage and if necessary, treatment of superficial venous insufficiency.