Albernaz Luiz Fernando, Albernaz Daiane Taís Schlindwein, Zignani Fernanda Rita Machado, Chi Yung-Wei
1 Clínica Albernaz, Novo Hamburgo, Brazil.
2 Department of Cardiovascular Medicine, University of California, Davis, USA.
Phlebology. 2018 May;33(4):267-272. doi: 10.1177/0268355517693100. Epub 2017 Feb 23.
Objective To analyze the outcomes of 119 (188 feet) patients undergoing foot varicose vein phlebectomy with and without sclerotherapy between 2013 and 2015. Methods Legs and feet were treated in one single procedure. Clinical and ultrasound assessments were carried out at 7, 30, and 90 days for visualization of the sapheno-femoral and sapheno-popliteal junctions and the deep vein system. Results Mean age was 50 ± 12 years (25-79 years); 67 patients were female (56.3%). Median venous clinical severity score was 4 (range 2-5) before and 1 (range 0-2) at 90 days ( p < 0.001). Edema and transient paresthesia were the most frequent complications (13 (10.92%) and 11 (9.24%) patients, respectively). All complications were resolved at 90 days except one case of edema (resolved after 150 days with compression stockings and lymphatic drainage manual therapy). Conclusions Symptomatic foot varicose vein intervention was safe and effective. Further studies should focus on assessment of vein-specific quality of life questionnaires.
目的 分析2013年至2015年间119例(188只脚)接受足部静脉曲张剥脱术(有无硬化治疗)患者的治疗结果。方法 腿部和足部在一次手术中进行治疗。在术后7天、30天和90天进行临床和超声评估,以观察大隐静脉-股静脉和大隐静脉-腘静脉交界处以及深静脉系统。结果 平均年龄为50±12岁(25 - 79岁);67例为女性(56.3%)。静脉临床严重程度评分中位数术前为4(范围2 - 5),90天时为1(范围0 - 2)(p < 0.001)。水肿和短暂性感觉异常是最常见的并发症(分别为13例(10.92%)和11例(9.24%)患者)。除1例水肿(使用压力袜和淋巴引流手法治疗150天后消退)外,所有并发症在90天时均已缓解。结论 有症状的足部静脉曲张干预是安全有效的。进一步的研究应侧重于评估特定静脉的生活质量问卷。