Features of ultrasound changes of veins in case of varicose disease of lower extremities of pregnant and puerperant women

2018 ◽  
Vol 0 (4) ◽  
pp. 49-52
Author(s):  
S. M. Vasyliuk ◽  
B. V. Krysa ◽  
I. V. Dmytriv
2020 ◽  
Vol 11 (3) ◽  
pp. 29-34
Author(s):  
Vladimir I. Barabash ◽  
Valentina F. Tskhai ◽  
Evgeny V. Semichev ◽  
Valentina V. Mayer

Background. Varicose disease is the most wide-spread vascular disease of the lower extremities. The form of occupation and work conditions significantly affect the cardiovascular system due to regular and unavoidable action of the human body. Aim: to determine the influence of hazardous work conditions on the incidence of varicose veins of the lower extremities among the persons subjected to periodic medical examinations; to identify the most important factors in the development of this pathology; to propose methods for preventing the occurrence of varicose veins in the manufacturing sector with hazardous conditions. Methods. Analysis of the outpatient histories (account form No. 025 \ у-04) of employees having periodic medical examinations was performed, with 528 female and 1489 male patients in total. The analysis of the outpatient histories, as well as processing of the obtained material were accomplished using the universal statistical package of Statgraphics Plus for Windows. Results. It has been established that hazardous work conditions, such as vibration, increase the incidence of varicose veins of the lower extremities, and the hazardous work experience plays the main role in increasing the incidence of this pathology. Conclusion. Hazardous work factors affect the incidence of the varicose disease of the lower extremities towards its elevation. The age, hazardous work experience and conditions associated with vibration play the major role in the increase of the disease incidence. A set of measures aimed at the prevention of varicose disease in the manufacturing sector has been suggested as a result of the study.


2018 ◽  
Vol 11 (3) ◽  
pp. 183-185
Author(s):  
Galina Viktorovna Yarovenko ◽  
Alexey Vitalievich Fesun

According to modern data, there are no signs of chronic venous disease in only 15.9% of people. Observing the clinical data of recent years, there is a tendency to increase the number of people with venous diseases and, unfortunately, the number of young patients is increasing (there are data that schoolchildren of the senior classes have signs of varicose transformation in 10-15%). Polymorphism of matrix metalloproteinase-12 is a key link in the pathogenesis of varicose veins.We conducted surveys of 50 patients. The average age is 43.7 ± 15.9 years, of them women 32, men 18 people. All patients with the class C2-C6 varicose veins (CEAP-classifier) ​​were divided into two groups by the method of serial sampling: group I (n = 20) - with relapse of varicose veins; Group II (n = 30) - patients treated with varicose disease for the first time. The only exception was patients with deferred vein thrombosis. Ultrasound diagnosis of the main veins of the lower extremities and genomic analysis of blood samples of patients was used.The obtained results confirm that in patients of the I group the MMP-12 gene occurs in 80% of cases (homo- and heterozygous variation), whereas in group II only in 33.3% of cases. The Pearson consensus criterion is 10.4 (the critical value of the criterion is 6.63). The significance level of this relationship corresponds to p <0.01. The statistical significance of the frequency of recurrence of varicose disease and the MMP-12 gene was established using the Spearman rank correlation coefficient, which is equal to 1,000 (criterion value is 0.398). Dependence of signs is statistically significant, with p <0.05


2018 ◽  
Vol 0 (4) ◽  
pp. 57-61
Author(s):  
O. I. Tkachenko ◽  
M. V. Chekhlov ◽  
A. M. Riabokon ◽  
Ye. A. Stoliarchuk

2020 ◽  
Vol 28 (3) ◽  
pp. 350-359
Author(s):  
Roman E. Kalinin ◽  
Igor A. Suchkov ◽  
Malay D. Patel ◽  
Ivan N. Shanaev ◽  
Nina D. Mzhavanadze

Varicose disease is the most prevalent vascular disorder affecting lower extremities. Chronic venous insufficiency (CVI) is common in subjects with incompetent superficial and perforator veins. Major attention in pathogenesis of CVI is paid to horizontal venous reflux, while pathological blood flow in the superficial veins may sometimes be regarded as a postural reaction. At the same time cardiac pathology may also attribute to the development of CVI. The article presents a case report describing a female patient with combination of the right heart pathology and varicose disease associated with tricuspid regurgitation leading to constant venous reflux in the lower extremity superficial veins with further development of trophic changes.


2019 ◽  
Vol 86 (7) ◽  
pp. 32-35
Author(s):  
V. I. Rusyn ◽  
V. V. Korsak ◽  
O. A. Nosenko ◽  
V. V. Rusyn ◽  
S. S. Kalinich

Objective. To improve the results of treatment in patients, suffering decompensated forms of chronic venous insufficiency (CHVI) of the lower extremities, using introduction of biological necrectomy and vacuum-therapy in combination with complex of optimal surgical interventions, depending on state of venous hemodynamics of the lower extremities. Materials and methods. In 2015-2018 yrs in Surgical Clinic of the Zakarpattya Regional Clinical Hospital named after Andriy Novak 147 patients, ageing 40 yrs old and older, suffering CHVI Category C6 in accordance to the CEAP Classification, were treated. All the patients were divided into two groups: the Group I consisted of 76 patients, suffering CHVI in decompensated stage on background of varicose disease, and the Group II - 71 patients, suffering trophic ulcers (TU) on background of postthrombophlebitic syndrome (PTHPHS). Results. There was established, that the TU clearance under the action of maggot-therapy in patients, suffering decompensated course of CHVI, is significantly more effective, than under the impact of vacuum-therapy. Autodermoplasty must be performed in all the patients, having TU with 4 cm in diameter, Good and satisfactory results were observed in 75 (98.7%) patients of Group I and in 63 (88.7%) patients of Group II, while poor results - in 8 (11.3%) patients of Group II. The working capacity of patients, suffering CHVI in decompensated stage of varicose genesis, have enhanced in 16.5 times, while in the patients, suffering TU on background of PTHPHS – in 1.25 times. Conclusion. Combined treatment of CHVI in decompensated stage, occurring on background of varicose disease includes the TU clearance, using vacuum-therapy or biological necrectomy with subsequent elimination of vertical reflux. In the patients, suffering TU on the PTHPHS background the biologic necrectomy with elimination of horizontal reflux is advantageous. The working capacity in patients with CHVI in decompensated stage of varicose genesis have enhanced in 16.5 times, while in the patients with TU on the PTHPHS background - in 1.25 times.


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