Varicose veins of lower extremities are a common and frequent disease, which are common in sedentary and weight-bearing workers and pregnant women. Clinically, varicose veins of lower extremities are seen to be elevated and swollen, with soreness and weakness in the affected extremities, swelling in the ankles and back of the feet after standing for a long time, skin pigmentation in the lower leg with eczema and chronic ulcers, and thrombophlebitis, redness, pain and sclerosis in the veins. Epidemiological findings show that the incidence of varicose veins in the lower extremities is 7.9%-8.6% among people over 15 years old in China.
The prevalence of varicose veins in the lower extremities is 7.9%-8.6% for people over 15 years old and 16.4% for people over 45 years old. By this calculation, the total number of patients in China is about 80 million or more.
A question: There are many patients with varicose veins, but why are there not many visits to the clinic?
Many patients just find the anger of blood vessels in their legs, like earthworms, which can disappear when lying down, but there is no pain, or the pain is not heavy and can be tolerated, so it does not affect their daily life, so they think there is no need to cure.
Second question:The same varicose veins, why some have no conscious symptoms for many years, while some have a short history but have obvious soreness and pain?
It has to do with the presence or absence of complications, the degree of sensation and tolerance of individuals. In people who are sensitive to sensation and poorly tolerant to pain, when the superficial veins start to dilate, they may feel soreness, swelling, discomfort and pain because of the stimulation of the venous outer membrane receptors, which is obvious when standing and walking, but disappears when lying down. As the disease continues to progress, with increasing venous hypertension and stasis, mild swelling and trophic changes in the skin of the foot and boot area may occur. These include skin atrophy, flaking, scratching, hyperpigmentation, hardening of the skin and subcutaneous tissue, and even eczema and ulcer formation.
Third question:Can wearing elastic stockings treat varicose veins?
Among the non-surgical methods, the main one is to wear nylon elastic stockings or elastic bandages to keep the varicose veins in a shriveled state, elevate the affected limbs, rest properly and avoid standing for too long. However, this can only stop the progress of the disease and cannot make the already varicose veins disappear. It is suitable for
①Mild varicose veins with very small extent;
②Pregnant women due to the enlarged uterus compressing the deep veins after pregnancy, which may disappear after a few nights;
③those who have various serious diseases and cannot tolerate the surgery.
Fourth question: Many advertisements promote injection therapy without surgery, is the effect reliable?
No matter how attractive the advertisements are, no matter whether the drugs are domestic or imported, the method they use is the sclerotherapy that was used in the 1950s and 1960s. The so-called “one shot” and “one time cure”, in fact, is to inject drugs into the blood vessels, using drugs to cause sterile inflammation and necrosis of the venous lining, and then through local compression, the wall of the injected blood vessels will be flattened, prompting adhesion of the vessel wall, and finally make it This method is seemingly simple and effective. This method may seem simple, but the results are unreliable and prone to complications. Many patients are left with painful streaks, thrombophlebitis, deep phlebitis and thrombosis after the injection. The outstanding disadvantage is that it does not completely, effectively and permanently block the refluxed blood from the high trunk veins as in radical surgery, while ligating the traffic branches between the dilated deep and superficial veins to avoid recurrence.
Five questions:What is the most effective method?
Surgical treatment is the most fundamental and effective way to deal with varicose veins in the lower extremities, as long as there are no contraindications, such as severe cardiopulmonary disease and very poor surgical tolerance, the surgical method should be chosen. The surgery involves high ligation of the trunk vein, stripping the trunk vein and removing the varicose vein for the purpose of radical treatment. Doctors have adopted various new methods to reduce surgical scars and maintain aesthetics, such as laser endovenous therapy, which reduces the pain of patients. The surgery is not complicated.
Sixth question:Will painful nodules in the lower leg get better after surgery?
Most of the painful nodules in the calf are varicose veins combined with thrombophlebitis. During the surgery, the hardened blood vessels and clots are removed, and the pain will disappear and the hard nodules will be restored.
Seven questions:How will the blood flow back after the surgery strips the veins?
This is a question that many patients do not want to have surgery. There are many traffic branches between the deep and superficial veins of the lower extremities and between the large and small saphenous veins, and the surgery blocks some of them, but the blood can still return to the deep veins and finally to the heart through other channels. Patients do not need to worry.
Q8: Does it affect the movement of lower limbs after surgery?
Since the surgery mainly deals with the superficial group of veins, it has no effect on the muscles and joints. On the contrary, because the diseased vessels are treated after the surgery, the pain and other symptoms disappear, and it is easier to move around. Generally, you can get out of bed the day after surgery and prevent the occurrence of deep vein thrombosis in the lower limbs. It will not affect the function of the limb.