NGHIÊN CỨU ỨNG DỤNG PHẪU THUẬT STRIPPING TRONG ĐIỀU TRỊ NGOẠI KHOA BỆNH SUY GIÃN TĨNH MẠCH NÔNG CHI DƯỚI

Abstract

Research objectives: To learn the clinical and subclinical characteristics and classification of diseases in order to base the indication of surgery; Evaluation of the outcome of treatment of superficial varicose veins with stripping surgery. Methods: A retrospective study of patients with legs with varicose veins indicated for surgery at Ha Tinh Hospital from January 2013 to May 2017. Results: The proportion of women (57.8%) is higher than that of men (42.2%) and the higher the age of women, the higher the incidence rate (46.6%). Patients go to the doctor mainly for 3 main reasons, worsening clinical symptoms are seen in the majority of patients (51%). Clinical symptoms are very diverse, mainly heavy legs (95.6%), varicose veins in the legs (100%), itchy legs (80%). The method of anesthesia was mainly spinal numbness (93.3%). The downward stripping direction was mainly up (77.8%). Early complications after surgery were mainly soft tissue bruising (26.7%) and leg paresthesia (22.2%). Early results after surgery were very good (88.9%). Beautiful results reach 100% without bad scars. Conclusion: The patient has a variety of clinical symptoms combined with severe leg symptoms, leg pain, leg itching, and large visible varicose veins. Doppler ultrasound helps to make a definitive diagnosis. The results after the surgery were very good. After surgery, patients have few complications or complications decrease and disappear in 2 - 3 weeks after surgery.