Реєстраційний номер
2125U009169, Матеріали видань та локальних репозитаріїв
Категорія
Текст
Назва роботи
Long–term results of treatment of varicose veins of the lower extremities
Автор
Русин В.І.
Павук Ф.М.
Борсенко М.І.
Попович Н.М.
Русин В.В.
Rusyn V.I.
Pavuk F.M.
Borsenko M.I.
Popovych N.M.
Rusyn V.V.
Дата публікації
01-01-2025
Постачальник інформації
Ужгородський національний університет
Першоджерело
https://dspace.uzhnu.edu.ua/handle/lib/79107
Видання
Опис
Abstracts
Objective. To improve the results of standard treatment of varicose veins of the lower extremities, to evaluate the effectiveness
of sclerosurgical and surgical interventions in the long–term postoperative period.
Materials and methods. The results of the examination and treatment of 228 patients with varicose veins of the lower
extremities in the surgical clinic of the Transcarpathian Regional Clinical Hospital named after Andriy Novak from 2012 to
2015 were analyzed. The study included patients with varicose veins of classes C2–C6 according to the CEAP classification, in
whom sclerotherapy was used as surgical treatment – 153 (67.1%) patients (group 1) or classical phlebectomy – 75 (32.9%)
patients (group 2).
Results. On the basis of duplex angioscopy of the operated limbs (189 in group 1 and 96 in group 2), technical and tactical
errors of surgical intervention were revealed: pathologic stump of the great saphenous vein with varicose transformation of
the near–octopus tributaries in 8 (4.2%) limbs in group 1 and 6 (6.3%) limbs in group 2; "additional" mistakenly left trunk of
the great saphenous vein – in 5 (2.6%) and 11 (11.5%) limbs, respectively; varicose transformation of the anterior accessory
vein of the thigh on 42 (22.2%) and 25 (26.0%) limbs, respectively; partial and complete recanalization of the trunk of the
great saphenous vein on 54 (28.6%) and 30 (15.9%) limbs, respectively, in group 1; "lateral" varicose veins on 5 (2.6%) limbs
in group 1 and 18 (18.8%) limbs in group 2. Partial and complete recanalization of the trunk of the great saphenous vein, in
our opinion, was associated with poor compression after sclerotherapy and a failed femoral vein on 18 (9.5%) limbs.
Conclusions. A comparative analysis of the dynamics of varicose veins and the results of treatment of patients in the long–term
postoperative period confirmed the higher effectiveness of phlebectomy, after which good results were recorded statistically
significantly (p<0.05) more often than after surgery. The total frequency of good and satisfactory (positive) treatment results
demonstrated comparable efficacy of phlebectomy and scleroscopic intervention – 85.4 and 89.9%, respectively.
Key words: varicose veins; sclerotherapy; phlebectomy; crossectomy.
Додано/оновлено в НРАТ
2026-06-13
