Authors
Temrezov M.B.1, Botashev R.N.1, Vladimirova O.V.2, Zhernosenko A.O.3
1. State budgetary educational institution of additional professional education “Russian Medical Academy of Postgraduate Education” of the Health Ministry of Russia
2. Stavropol State Medical University
3. Tuapse Regional Hospital
Abstract
Results of treatment of 68 patients with varicose veins. The aim of the study was to evaluate the efficacy of radiofrequency ablation (RFA) and combined phlebectomy (CFE) in the surgical treatment of varicosity of the lower extremities of the С5-С6 class by CEAP. In the treatment of patients with chronic venous insufficiency (CVI) with closed trophic ulcers with RFA, the results were “good” in 15 (83,3%) patients, “satisfactory” in 1 (5,6%) and “unsatisfactory” in 2 (11,2%) patients, after CFT — “good” — in 9 (64,3%) patients, ‘satisfactory’ — in 2 (14,3%) and “unsatisfactory” — in 3 (21,4%) patients. When treating patients with CVI with open trophic ulcers 6 weeks after RFA, trophic ulcers completely epithelized in 14 (70%) patients, decreased by more than 50% — in 4 (20%), less than 50%, in 2 10%), whereas after CPE complete epithelialization of the ulcerative defect occurred in 8 (50%) patients, ulcers decreased by more than 50% — in 5 (31,25%), less than 50% — in 3 (18,75%) patients. Recur- rence of ulcers after 1 year after RFA noted in 11,2% of cases, after MFE — 20%.
Keywords: varicose veins disease, radiofrequency ablation, miniphlebec- tomy, treatment results.
References
1. Bokeriya L.A., Mihajlichenko M.V., Kovalenko V.I. Optimizaciya hirurgicheskogo lecheniya bol’nyh s varikoznoj bolezn’yu ven nizhnih konechnostej // Rossijskij medicinskij zhurnal. 2015. № 1. S.23-28.
2. Kirienko A.I, Zolotuhin I.A., Yumin S.M. Rezul’taty lecheniya pacientov s hronicheskimi zabolevaniyami ven v real’noj klinicheskoj praktike: dannye programmy SPEKTR //Flebologiya. 2014. 2. 8.2. S.
3. Subbotin Yu.G., Shul’gina L.E. Chastota vozniknoveniya i faktory riska tromboticheskih oslozhnenij posle hirurgicheskogo lecheniya varikoznoj bolezni // Flebologiya. 2014. 2.8.2. S.
4. Effektivnost’ razlichnyh metodov lecheniya izolirovannogo varikoznogo rasshireniya ven v aspekte sberegatel’noj hirurgii /A.A. Malinin, Pryadko S.I., Dyurzhanov A.A. i dr. / /Flebologiya. 2014. 2.8.2. S.
5. Bokeriya L.A., Kovalenko V.I., Mihajlichenko M.V. Differencirovannyj vybor metoda profilaktiki tromboticheskih oslozhnenij pri hirurgicheskom lechenii bol’nyh s varikoznoj bolezn’yu nizhnih konechnostej // Flebologiya. 2014. 2.8.2. S. 2:72.
6. Miniinvazivnye hirurgicheskie tekhnologii v lechenii varikoznoj bolezni: tryohletnee retrospektivnoe kliniko-ekonomicheskoe sravnenie / B.A. Veselov, E.P. Burleva i dr. // Flebologiya. 2011. t.1. S.16-21.
7. Kompleksnoe hirurgicheskoe lechenie varikoznoj bolezni v stacionare odnogo dnya /A.I. Shimanko, M.D. Dibirov, A.S. Volkov i dr. // Flebologiya. 2014. 2.8.2. S.57-57.
8. Udalenie varikozno-izmenennyh pritokov bol’shoj podkozhnoj veny privodit k ischeznoveniyu reflyuksa po eyo stvolu (predvaritel’nye rezul’taty perspektivnogo issledovaniya / I.A. Zolotuhin, E.I. Seliverstov, E.S. An i dr. // Flebologiya. 2014. 2. 8. 2. S.
