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KMID : 0365719990150010151
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Journal of Pusan Surgical Society
1999 Volume.15 No. 1 p.151 ~ p.155
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A Clinical analysis of the Treatment of Varicose Vein of the Lower Limbs
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Byun Jae-Cheol
Choi Jin-Kab
Park Hee-Yong
Chia Byung-Doe
Park Kyung-Hwan
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Abstract
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Background: Varicose vein of the lower limbs is cause by a retrograde blood flow and hydrostatic pressure as a result of an increase in height or physical strain associated with work. Treatment of varicose vein involves 1) conservative management-periodic leg elevation, elastic stocking support, and "exercise support, 2) compression sclerotherapy, aryl 3) surgery.
Methods:Ninety-three limbs of 68 patients with primary varicose veins of the lower limb were treated from Jan. 1999 to Oct. 1999.
Results: Fifty-two limbs were treated with compression sclerotherapy and 41 Limbs stirgcry. The prevalent age group consist of those who patients between 40 and 50 years old, and the female to male ratio was 2 : 1. Varicose vein developed in the right lower limb in 21 cases, in the left lower limbs in 22 cases, and in the both limb in 25 cases. The average duration of illness was 8.05.9 years. Of the 41 cases operated on, a greater saphenous vein (GSV) high ligation (HL) and above knee (AK) stripping with varicosectomy (VS) was done in 37 cases, a short saphenous vein (SSV) HL and VS in 3, and GSV HL and VS in 1 case. Posttreatment Complications occurred in 10 cases in sclerotherpy and 18 cases in surgery.
Conclusion:According to the severity of varicose veins, sclerotherapy is as effective as surgery. New therapeutic strategy such as sclerotherapy should be considered in treatment of aricose veins.
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KEYWORD
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Varicose vein, Sclerotherapy
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