Валеология: Здоровье, Болезнь, Выздоровление. 2019; : 68-73
РЕТРОСПЕКТИВНЫЙ АНАЛИЗ ПРИЧИН РЕЦИДИВА ВАРИКОЗНОЙ БОЛЕЗНИ НИЖНИХ КОНЕЧНОСТЕЙ
Аннотация
Варикозная болезнь нижних конечностей является актуальной социально значимой проблемой, а частота рецидива, по разным данным, сохраняется в пределах от 7 % до 83 %.
Целью данного исследования является ретроспективный анализ частоты и причин рецидива варикозной болезни нижних конечностей, после традиционной флебэктомии и эндовенозной лазерной аблации.
Материалы и методы. Материалом для исследования являлись истории болезни пациентов, получавших хирургическое лечение по поводу рецидива варикозной болезни нижних конечностей.
Результаты. Частота возникновения рецидива в области СФС была статистически значимо выше в группе ЭВЛА, в сравнении с ТФ. В остальном, частота возникновения рецидива, вследствие технических и тактических ошибок и неоваскуляризации, не имела значимых различий в группах.
Список литературы
1. Pokrovskii A. V., Sapelkin S. V. Lower limb chronic venous insufficiency: contemporary problems in diagnosis, classification and treatment // Angiol. Sosud. Khir. 2003. Vol. 9, № 1. P. 53–58.
2. Robertson L., Evans C., Fowkes F. G. R. Epidemiology of chronic venous disease // Phlebology. 2008. Vol. 23, № 3. P. 103–111.
3. Winterborn R. J., Earnshaw J. J. Crossectomy and great saphenous vein stripping // J. Cardiovasc. Surg. (Torino). 2006. Vol. 47, № 1. P. 19–33.
4. Beebe-Dimmer J. L. et al. The epidemiology of chronic venous insufficiency and varicose veins // Ann. Epidemiol. 2005. Vol. 15, № 3. P. 175–184.
5. Perrin M. R. et al. Recurrent varices after surgery (REVAS), a consensus document. REVAS group. // Cardiovasc. Surg. 2000. Vol. 8, № 4. P. 233–245.
6. Christenson J. T. et al. Prospective randomized trial comparing endovenous laser ablation and surgery for treatment of primary great saphenous varicose veins with a 2-year follow-up // J. Vasc. Surg. 2010. Vol. 52, № 5. P. 1234–1241.
7. Rass K. et al. Comparable Effectiveness of Endovenous Laser Ablation and High Ligation With Stripping of the Great Saphenous Vein Two-Year Results of a Randomized Clinical Trial (RELACS Study) // Arch. Dermatol. 2012. Vol. 148, № 1. P. 49–58.
8. Flessenkaemper I. H. et al. Two-Year Results of a Prospective Randomised Controlled Multicenter Trial to Compare Open Operative Therapy vs. Endoluminal Venous Laser Therapy with and without High Ligation for the Therapy of Varicose Greater Saphenous Veins // Zentralbl. Chir. 2015. Vol. 140, № 1. P. 27–34.
9. Mozafar M. et al. Endovenous laser ablation of the great saphenous vein versus high ligation: long-term results // Lasers Med. Sci. 2014. Vol. 29, № 2. P. 765–771.
10. Jibiki M. et al. Effect of the wide-spread use of endovenous laser ablation on the treatment of varicose veins in Japan: a large-scale, single institute study // Laser Ther. 2016. Vol. 25, № 3. P. 171–177.
11. van den Bos R. et al. Endovenous therapies of lower extremity varicosities: A meta-analysis // J. Vasc. Surg. 2009. Vol. 49, № 1. P. 230–239.
12. Nandhra S. et al. A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins // J. Vasc. Surg. 2015. Vol. 61, № 3. P. 741–746.
13. Nesbitt C. et al. Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus conventional surgery for great saphenous vein varices // Cochrane Database Syst. Rev. 2011. № 10.
Valeology: Health - Illnes - recovery. 2019; : 68-73
RETROSPECTIVE ANALYSIS OF THE CAUSES OF RECURRENCE VARICOSE DISEASE OF THE LOWER LIMBS
Abstract
Varicose veins are actual socially significant problem. Reccurence rate remains in the range from 7 % to 83 %.
The aim of the study is a retrospective analysis of the frequency and causes of recurrence of varicose veins of the lower extremities, after conventional surgery and endovenous laser ablation.
Materials and methods. The material for the study was the medical records of patients who received surgical treatment for the
recurrence of varicose veins.
Results. The incidence of relapse in the sapheno-femoral junctions area was statistically significantly higher in the EVLA group, compared with conventional surgery. Otherwise, the frequency of relapse, due to technical and tactical errors, and neovascularization did not have significant differences in the groups.
References
1. Pokrovskii A. V., Sapelkin S. V. Lower limb chronic venous insufficiency: contemporary problems in diagnosis, classification and treatment // Angiol. Sosud. Khir. 2003. Vol. 9, № 1. P. 53–58.
2. Robertson L., Evans C., Fowkes F. G. R. Epidemiology of chronic venous disease // Phlebology. 2008. Vol. 23, № 3. P. 103–111.
3. Winterborn R. J., Earnshaw J. J. Crossectomy and great saphenous vein stripping // J. Cardiovasc. Surg. (Torino). 2006. Vol. 47, № 1. P. 19–33.
4. Beebe-Dimmer J. L. et al. The epidemiology of chronic venous insufficiency and varicose veins // Ann. Epidemiol. 2005. Vol. 15, № 3. P. 175–184.
5. Perrin M. R. et al. Recurrent varices after surgery (REVAS), a consensus document. REVAS group. // Cardiovasc. Surg. 2000. Vol. 8, № 4. P. 233–245.
6. Christenson J. T. et al. Prospective randomized trial comparing endovenous laser ablation and surgery for treatment of primary great saphenous varicose veins with a 2-year follow-up // J. Vasc. Surg. 2010. Vol. 52, № 5. P. 1234–1241.
7. Rass K. et al. Comparable Effectiveness of Endovenous Laser Ablation and High Ligation With Stripping of the Great Saphenous Vein Two-Year Results of a Randomized Clinical Trial (RELACS Study) // Arch. Dermatol. 2012. Vol. 148, № 1. P. 49–58.
8. Flessenkaemper I. H. et al. Two-Year Results of a Prospective Randomised Controlled Multicenter Trial to Compare Open Operative Therapy vs. Endoluminal Venous Laser Therapy with and without High Ligation for the Therapy of Varicose Greater Saphenous Veins // Zentralbl. Chir. 2015. Vol. 140, № 1. P. 27–34.
9. Mozafar M. et al. Endovenous laser ablation of the great saphenous vein versus high ligation: long-term results // Lasers Med. Sci. 2014. Vol. 29, № 2. P. 765–771.
10. Jibiki M. et al. Effect of the wide-spread use of endovenous laser ablation on the treatment of varicose veins in Japan: a large-scale, single institute study // Laser Ther. 2016. Vol. 25, № 3. P. 171–177.
11. van den Bos R. et al. Endovenous therapies of lower extremity varicosities: A meta-analysis // J. Vasc. Surg. 2009. Vol. 49, № 1. P. 230–239.
12. Nandhra S. et al. A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins // J. Vasc. Surg. 2015. Vol. 61, № 3. P. 741–746.
13. Nesbitt C. et al. Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus conventional surgery for great saphenous vein varices // Cochrane Database Syst. Rev. 2011. № 10.
