emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2025.9.1.2421emcardio-117Research ArticleОригинальные научные публикацииOriginal Scientific ResearchХирургическое лечение пациентов с варикозной болезнью и трофическими нарушениямиSurgical treatment options in patients with varicose veins accompanied by trophic disordersНебылицинЮ. С.NebylitsinYu. S.

Минск

Minsk

ХрыщановичВ. Я.KhryshchanovichV. Ya.

Минск

Minsk

vladimirkh77@mail.ruРоговойН. А.RogovoyN. A.

Минск

Minsk

КлимчукИ. П.KlimchukI. P.

Минск

Minsk

НелиповичЕ. В.NelipovichE. V.

Минск

Minsk

УО «Белорусский государственный медицинский университет»Belarusian State Medical UniversityУЗ «4-я городская клиническая больница им. Н. Е. Савченко»N. Savchenko 4th City Clinical Hospital2025110920259124212427Copyright © Небылицин Ю.С., Хрыщанович В.Я., Роговой Н.А., Климчук И.П., Нелипович Е.В., 20252025Небылицин Ю.С., Хрыщанович В.Я., Роговой Н.А., Климчук И.П., Нелипович Е.В.Nebylitsin Y.S., Khryshchanovich V.Y., Rogovoy N.A., Klimchuk I.P., Nelipovich E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/117Цель

Цель. Оценить результаты лечения пациентов с клиническими классами С4-С6 варикозной болезни нижних конечностей (ВБ).

Материал и методы

Материал и методы. В исследование включено 380 пациентов с ВБ, осложненной трофическими нарушениями. Всем пациентам проводилось хирургическое вмешательство в сочетании с консервативной терапией. Применялись лабораторные и инструментальные методы исследования, в том числе ультразвуковое допплерографическое исследование, дуплексное ангиосканирование.

Результаты

Результаты. Исследование показало, что проведение хирургических вмешательств у пациентов с ВБ, осложненной трофическими нарушениями, должно носить индивидуальный и комплексный характер и быть направлено на коррекцию имеющихся гемодинамических нарушений, а также купирование клинических симптомов и трофических расстройств.

Заключение

Заключение. При выборе тактики лечения пациентов с ВБ, осложненной трофическими нарушениями, необходимо оценивать состояние пациента (сопутствующую патологию), наличие трофической язвы и ее характеристики (фазу воспаления, площадь, длительность существования). Хирургические методы лечения должны быть патогенетически обоснованными, направлены на ликвидацию патологического рефлюкса с минимальным повреждением тканей.

The aim of the study was to evaluate the treatment outcomes of patients with varicose veins clinical classes C4-C6 by CEAP.

Material and methods

Material and methods. The study included 380 patients with varicose veins of the lower extremities complicated by trophic disorders. All patients underwent surgical intervention in combination with medication therapy. Laboratory and instrumental methods of examinations, including Doppler Ultrasound examination and Duplex Angiography, were used.

Results

Results. Our research proved that surgical interventions on the patients with varicose veins complicated by trophic disorders should be based on individual and comprehensive approach, and should be aimed at eliminating the underlying hemodynamic disorders and relieving clinical symptoms and arresting trophic disorders.

Conclusion

Conclusion. While choosing treatment options for patients with varicose veins complicated by trophic disorders, it is necessary to assess the patient’s condition (concomitant pathology), the presence of a trophic ulcer and its characteristics (phase of inflammation, area, persistence period). Surgical treatment methods should be necessitated pathogenically, aiming at eliminating the pathological reflux with minimal tissue damage.

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The authors declare that there are no conflicts of interest present.