TREATMENT RESULTS OF PATIENTS WITH VARICOSE VEINS DISEASE FOR TEN YEARS

The aim: to study the quality of life of patients with varicose disease of lower extremities, treated for the period from 2007 to 2016 in an operational way, including the RFA method. Materials and methods. We used the following materials in our work: medical histories of the patient of the surgical...

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Main Authors: L. N. Komarova, R. N. Ryakhin, F. S. Aliev, S. A. Zvezda
Format: Article
Language:Russian
Published: SINAPS LLC 2018-06-01
Series:Архивъ внутренней медицины
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Online Access:https://www.medarhive.ru/jour/article/view/792
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author L. N. Komarova
R. N. Ryakhin
F. S. Aliev
S. A. Zvezda
author_facet L. N. Komarova
R. N. Ryakhin
F. S. Aliev
S. A. Zvezda
author_sort L. N. Komarova
collection DOAJ
description The aim: to study the quality of life of patients with varicose disease of lower extremities, treated for the period from 2007 to 2016 in an operational way, including the RFA method. Materials and methods. We used the following materials in our work: medical histories of the patient of the surgical department, summary data from the department of statistics Departmental Hospital at the station Tyumen JSC «Russian Railways», data of ultrasonic angioscanization of veins of lower extremities. We used the research methods: statistical method, clinical, expert analysis and system approach. The degree of chronic venous insufficiency of lower extremities was determined using the clinical section of the international classification of CEAP (1995). Results and discussion. We analyzed the quality of life of patients with varicose disease of lower extremities after surgical treatment for the period from 2007 to 2016. It was found that the overwhelming majority of patients (83%) had a hereditary factor from the etiologic factors of the disease, obesity in 57% of cases, long-term static loads in 44%, and hormonal contraceptives in 5% of cases. We gave a subjective evaluation of the results of surgical treatment with the classical method (phlebectomy) and the method of radiofrequency obliteration of veins. The average duration of temporary disability of railwaymen after crossectomy and phlebectomy was (18 ± 2,5) days, while after the RFO the majority of patients (70.5%) returned to their usual life on the day of the operation, 23.5% after 2 days after surgery, 8.8% — after 3 days after the operation. It is shown that the promptly conducted operative treatment in a planned manner, without waiting for the development of complications of varicose veins, significantly improves some sections of the patient’s quality of life. Conclusion: the process of rehabilitation of patients in the postoperative period is reduced 3 times if surgical intervention with varicose disease of lower extremities is performed by the method of endovenous segmental radiofrequency obliteration of veins.
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spelling doaj-art-ac3d55b22bbc4c0fbbff28d11441906d2025-08-20T03:37:54ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642018-06-018321521810.20514/2226-6704-2018-8-3-215-218676TREATMENT RESULTS OF PATIENTS WITH VARICOSE VEINS DISEASE FOR TEN YEARSL. N. Komarova0R. N. Ryakhin1F. S. Aliev2S. A. Zvezda3Federal State Budgetary Educational Institution of Higher Education «Tyumen State Medical University» of the Ministry of Health of the Russian Federation, Tyumen; «NGHCI the branch hospital, Tyumen Station OJSC «Russian Railways», Tyumen«NGHCI the branch hospital, Tyumen Station OJSC «Russian Railways», TyumenFederal State Budgetary Educational Institution of Higher Education «Tyumen State Medical University» of the Ministry of Health of the Russian Federation, Tyumen; «NGHCI the branch hospital, Tyumen Station OJSC «Russian Railways», TyumenFederal State Budgetary Educational Institution of Higher Education «Tyumen State Medical University» of the Ministry of Health of the Russian Federation, TyumenThe aim: to study the quality of life of patients with varicose disease of lower extremities, treated for the period from 2007 to 2016 in an operational way, including the RFA method. Materials and methods. We used the following materials in our work: medical histories of the patient of the surgical department, summary data from the department of statistics Departmental Hospital at the station Tyumen JSC «Russian Railways», data of ultrasonic angioscanization of veins of lower extremities. We used the research methods: statistical method, clinical, expert analysis and system approach. The degree of chronic venous insufficiency of lower extremities was determined using the clinical section of the international classification of CEAP (1995). Results and discussion. We analyzed the quality of life of patients with varicose disease of lower extremities after surgical treatment for the period from 2007 to 2016. It was found that the overwhelming majority of patients (83%) had a hereditary factor from the etiologic factors of the disease, obesity in 57% of cases, long-term static loads in 44%, and hormonal contraceptives in 5% of cases. We gave a subjective evaluation of the results of surgical treatment with the classical method (phlebectomy) and the method of radiofrequency obliteration of veins. The average duration of temporary disability of railwaymen after crossectomy and phlebectomy was (18 ± 2,5) days, while after the RFO the majority of patients (70.5%) returned to their usual life on the day of the operation, 23.5% after 2 days after surgery, 8.8% — after 3 days after the operation. It is shown that the promptly conducted operative treatment in a planned manner, without waiting for the development of complications of varicose veins, significantly improves some sections of the patient’s quality of life. Conclusion: the process of rehabilitation of patients in the postoperative period is reduced 3 times if surgical intervention with varicose disease of lower extremities is performed by the method of endovenous segmental radiofrequency obliteration of veins.https://www.medarhive.ru/jour/article/view/792varicesquality of liferadiofrequency obliteration of the veins
spellingShingle L. N. Komarova
R. N. Ryakhin
F. S. Aliev
S. A. Zvezda
TREATMENT RESULTS OF PATIENTS WITH VARICOSE VEINS DISEASE FOR TEN YEARS
Архивъ внутренней медицины
varices
quality of life
radiofrequency obliteration of the veins
title TREATMENT RESULTS OF PATIENTS WITH VARICOSE VEINS DISEASE FOR TEN YEARS
title_full TREATMENT RESULTS OF PATIENTS WITH VARICOSE VEINS DISEASE FOR TEN YEARS
title_fullStr TREATMENT RESULTS OF PATIENTS WITH VARICOSE VEINS DISEASE FOR TEN YEARS
title_full_unstemmed TREATMENT RESULTS OF PATIENTS WITH VARICOSE VEINS DISEASE FOR TEN YEARS
title_short TREATMENT RESULTS OF PATIENTS WITH VARICOSE VEINS DISEASE FOR TEN YEARS
title_sort treatment results of patients with varicose veins disease for ten years
topic varices
quality of life
radiofrequency obliteration of the veins
url https://www.medarhive.ru/jour/article/view/792
work_keys_str_mv AT lnkomarova treatmentresultsofpatientswithvaricoseveinsdiseasefortenyears
AT rnryakhin treatmentresultsofpatientswithvaricoseveinsdiseasefortenyears
AT fsaliev treatmentresultsofpatientswithvaricoseveinsdiseasefortenyears
AT sazvezda treatmentresultsofpatientswithvaricoseveinsdiseasefortenyears