title: [Influence of pathology-based surgical treatment on quality of life in patients with postthrombotyc disease of lower extremities].
abstract: Quality of life (QOL) in patients with posttrombotyc disease (PTD) of lower extremity after surgical treatment due to the pathogenetic features of the disease was investigated. In 27 patients, combined with crosectomy and venexeresis the paratibial fasciotomy and closed separation perforante veins were performed. QOL was studied CIYIQ questionnaire before surgery and at 1 year after it. According to morphological studies revealed fragments leg fascia chronic destructive processes that cause disruption of normal functioning "muscle pump". The results marching samples marked venous dysfunction that manifested a significant increase in the volume of tibia during passive standing and maintaining venous stasis after walking, indicating a lack of functioning "muscle pump". The amplitude of movements in talocrural joint in 1.4 times less than the total amount of flexion and extension of the foot in patients with PTD than in the control group. According to electromyography during PTD average amplitude was reduced by 1.5 times, maximum--1.8 times than that of the control group, indicating a significant reduction in functional capacity and tone leg muscles. QOL of patients after surgery improved to 2.1 times.
authors.forename: V A
authors.initials: VA
authors.lastname: Orynchak
mesh_terms: D016022:Case-Control Studies; D004576:Electromyography; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply* / Q000473:pathology / Q000601:surgery*; D008297:Male; D010149:Postoperative Pain / Q000503:physiopathology / Q000523:psychology*; D010991:Plethysmography; D054070:Postthrombotic Syndrome / Q000503:physiopathology / Q000523:psychology*; D011187:Posture; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014648:Varicose Veins / Q000473:pathology / Q000601:surgery*; D020246:Venous Thrombosis / Q000473:pathology / Q000601:surgery*; D016138:Walking