Kulikova A N, Khaĭrutdinov S V
Chair of Hospital Surgery of the Therapeutic Medical Department, Saratov State Medical University named after V.I. Razumovsky under the Ministry of Public Health of the Russian Federation, Saratov, Russia.
Medical Centre 'Akson', Saratov Region, Balakovo, Russia.
Angiol Sosud Khir. 2017;23(3):177-182.
The problem regarding treatment of patients suffering from lower limb varicose veins remains a matter of current concern and is important today because of high prevalence of the pathology concerned and a steadily growing number of newly diagnosed cases. Mention should be made that both Russian and foreign phlebologists along with an open surgical operation on veins have more and more often been using minimally invasive endovenous techniques in comprehensive management of patients presenting with varicose veins. The present article is a literature review dedicated to a detailed discussion of two most commonly performed and efficient procedures, namely, radiofrequency ablation of lower limb veins and endovasal laser coagulation. This is accompanied and followed by demonstrating advantages of these techniques, describing the immediate and remote results obtained, as well as possible complications, both typical and rarely occurring. The majority of specialists employing radiofrequency ablation of lower-limb veins and endovasal endovenous laser coagulation report high effectiveness of their use for treatment of patients with lower limb varicose veins, including those diagnosed with pronounced trophic impairments. The findings obtained by many authors while comparing efficacy of various endovenous procedures make it possible to assess them objectively and to correctly determine the indications for a particular intervention.
下肢静脉曲张患者的治疗问题仍是当前备受关注的问题，鉴于相关病理状况的高患病率以及新诊断病例数量的稳步增长，该问题如今显得尤为重要。应当指出的是，俄罗斯和外国的静脉病学家在对静脉曲张患者进行综合治疗时，除了传统的静脉开放手术外，越来越多地采用微创腔内技术。本文是一篇文献综述，致力于详细讨论两种最常用且有效的手术方法，即下肢静脉射频消融术和腔内激光凝固术。同时还将展示这些技术的优势，描述所获得的近期和远期效果，以及可能出现的并发症，包括常见的和罕见的。大多数采用下肢静脉射频消融术和腔内激光凝固术的专家报告称，这些方法在治疗下肢静脉曲张患者（包括那些被诊断为有明显营养障碍的患者）方面具有很高的有效性。许多作者在比较各种腔内手术疗效时所获得的结果，使得能够对它们进行客观评估，并正确确定特定干预措施的适应症。
