Marmasse J
Phlebologie. 1981 Jan-Mar;34(1):89-104.
All pregnancy varices should be treated by the "new" sigvaris elastic stockings, available since C. 1960, degressive, and of calculated compression. However, these elastic stockings are not enough in all cases, and they should in no way replace active therapy. Sclerosant injections enable the practitioner to treat varicose recidivism during the pregnancy of women already treated (by sclerotherapy or by surgery). Surgery may also be performed on the saphenous veins during pregnancy, if it is really necessary. This is rare; it should be used only in carefully-selected cases: E. Gr. saphenous thrombosis, or certain rapid developments on large saphenous vessels. After an account of the three methods, the author gives his reasons for a therapeutic option, and notes his observations, especially concerning 54 operations performed on varices during the course of pregnancy. Contrary to the teachings of many obstetricians, vulval varices may be treated rapidly, successfully, and safely by sclero-therapy. The author hopes that this reminder of certain theories and experiences will encourage younger phlebologists to practice these therapeutic methods.
所有妊娠静脉曲张均应用自1960年左右开始使用的“新型”西格瓦里斯弹性长袜进行治疗，这种长袜呈递减式，具有计算好的压力。然而，这些弹性长袜并非在所有情况下都足够有效，而且绝不能替代积极治疗。硬化剂注射使从业者能够治疗已接受过治疗（通过硬化疗法或手术）的女性在孕期出现的静脉曲张复发情况。如果确实有必要，在孕期也可对大隐静脉进行手术。这种情况很罕见；仅应在精心挑选的病例中使用：例如大隐静脉血栓形成，或大隐静脉上某些快速发展的病变。在介绍了这三种方法后，作者给出了他选择某种治疗方案的理由，并记录了他的观察结果，特别是关于孕期对静脉曲张进行的54例手术。与许多产科医生的教导相反，外阴静脉曲张可以通过硬化疗法迅速、成功且安全地治疗。作者希望对某些理论和经验的这一提醒将鼓励年轻的静脉病学家采用这些治疗方法。
