Morphometric characteristics of venous leg ulcers in patients with type 2 diabetes mellitus depending on glycemic control
DOI:
https://doi.org/10.11603/2414-4533.2026.3.16739Keywords:
venous trophic ulcer, chronic venous insufficiency, type 2 diabetes mellitus, morphometry, wound healingAbstract
The aim of the work: to assess the influence of type 2 diabetes mellitus and the degree of compensation of carbohydrate metabolism on the morphometric characteristics of venous trophic ulcers of the lower extremities.
Materials and Methods. 300 patients with chronic venous trophic ulcers of class C6 according to the CEAP classification were examined. The first group included 104 patients without diabetes mellitus; the second, 98 patients with compensated type 2 diabetes mellitus; and the third, 98 patients with decompensated type 2 diabetes mellitus. The area, perimeter, depth of the ulcer defect, its duration, number of ulcers, pain intensity on a visual analog scale, and the frequency of large and chronic ulcers were determined.
Results. In patients with decompensated type 2 diabetes mellitus, a significant increase in the area, perimeter, and depth of the ulcer defect, a longer duration of ulcers, higher intensity of pain syndrome, and a higher frequency of large and multiple ulcers were found compared to other groups (p<0.001).
Conclusions. Decompensation of type 2 diabetes mellitus is associated with a significant deterioration in the morphometric characteristics of venous trophic ulcers. Morphometric indicators can be used as additional criteria for assessing the severity of the pathological process and predicting the disease course.
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