Kết quả bước đầu điều trị suy tĩnh mạch nông chi dưới tại khoa chẩn đoán hình ảnh Bệnh viện Đại học Y Hà Nội

Initial results of the treatment of superficial venous insufficiency in the Radiology department at HMU hospital

SUMMARY

SVI occurs when the venous valves in the superficial leg veins are not working effectively making it difficult for blood to return to the heart and making the patient uncomfortable. There are a variety of treatment modalities to treat SVI, including surgical approaches, sclerotherapy, laser and RFA. From January to June 2016 we treated 15 patients SVI: sclerotherapy and endovenous laser ablation therapy (ELA) in 21 limbs, ELA in 7 limbs (4 patients), sclerotherapy in 14 limbs (11 patients ), include 6 males (40%) and 9 females (60%). The most of the signs and symptoms of SVI are the feeling of heaviness in legs (100%); pain legs (66.7%); 73.3% varicose superficial veins; 2 patients with Klippel - Trenaunay syndrome (KLS). Before the intervention, the CEAP classification was mainly used at C2 and C3. Of 21 limbs treated, 14 limbs (14/21) were classified as C2, 7 limbs (7/21) as C3, VCSs = 5.18 ± 3.52. There were no complications during and after the intervention. After the intervention, there is a significantly reduced in the VCSS and in the CEAP clinical class. The GSV (great saphenous veins) occlusion rate was 100% at 30 days after laser treatment, 85.7% limbs without reflux after sclerotherapy.

Key words: saphenous veins, lower limb, sclerotherapy, laser.