[Perforating veins insufficiency in patients with varicose disease].
METHODS
It was analyzed the results of complex survey and treatment of 181 patients with varicose disease CEAP degrees C3-C6. Ultrasonic scanning was applied to define localization, severity and extension of blood reflux in venous system.


RESULTS
Superficial reflux was revealed in all patients, perforating--in 59.7%, deep--in 22.8% of cases. We concluded that high-intensive total-subtotal blood reflux in superficial veins was main hemodynamic factor resulted perforating insufficiency in 42% of patients, high-intensive deep reflux--in 17.7% of cases additionally. In patients with subcompensated course of disease superficial reflux removal and large perforating veins (diameter 4.5±0.5 mm) ligation are advisable. Small perforating veins insufficiency (diameter 3.5±0.5 mm) is eliminated independently after superficial reflux removal. Two-staged treatment should be used in patients with decompensated course of disease and trophic disorders ofshin. Perforating veins sclerotherapy under ultrasonic control is advisable secondarily after superficial reflux removal.
Chair of General Surgery, Kursk State Medical University.
B S
BS
Sukhovatykh
Chair of General Surgery, Kursk State Medical University.
M B
MB
Sukhovatykh
D000328:Adult; D000368:Aged; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008026:Ligation / Q000009:adverse effects / Q000379:methods; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000517:prevention & control; D015911:Sclerotherapy / Q000379:methods*; D014463:Ultrasonography; D014647:Varicose Ulcer / Q000209:etiology / Q000517:prevention & control; D014648:Varicose Veins / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods; D014689:Venous Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D055422:Venous Valves / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery