What are the three mainstream treatments for varicose veins? Varicose veins belong to venous reflux diseases and are common in people who stand for long periods. The treatment methods for varicose veins can be divided into surgical treatment, sclerotherapy injection and compression therapy, and non-surgical treatment. The choice of which treatment method should be based on the specific situation of the patient.
(1) Non-surgical therapy: Mainly includes wearing varicose vein elastic stockings or using elastic bandages on the affected limb. This is suitable for the following situations: ① Lesions are localized, mild in degree, and asymptomatic; ② Pregnant women, given that symptoms often disappear after delivery, non-surgical therapy can be temporarily adopted; ③ Patients with poor estimated tolerance for surgery.
(2) Sclerotherapy injection and compression therapy: This method involves injecting a sclerosing agent into the dilated vein cavity, causing the vein's inner membrane to be chemically stimulated, leading to inflammation and forming a thrombus. The thrombus extends throughout the vein, causing its internal cavity to adhere, eventually leading to fibrosis and blocking the lumen. Therefore, this method cannot solve the fundamental problem, is prone to recurrence, and sometimes can lead to deep vein thrombosis. Recurrent patients may increase the difficulty of subsequent surgery, so it should be chosen cautiously. It is mainly applicable to residual varicose veins after surgery, recurrent patients after surgery, and patients with mild and localized varicose veins.
(3) Surgical therapy: Patients diagnosed with simple lower extremity varicose veins, if symptomatic and without contraindications, can undergo surgical treatment. Commonly used surgical methods clinically include high ligation and stripping of the great saphenous vein and small saphenous vein. The surgery should aim to ligate the main trunk of the great saphenous vein and small saphenous vein as high as possible and completely remove the main trunks of the great and small saphenous veins, ligating all high-position branches of the great saphenous vein, and trying to remove the varicose vein mass. In cases of chronic lower extremity varicose veins complicated by leg ulcers, commonly used methods include high ligation of the great saphenous vein + stripping + perforator ligation + ring suture around the ulcer.
The above is a detailed introduction by experts on the three mainstream treatment methods for varicose veins, hoping it will help you. If you have more questions, you can consult online with experts from Shanxi Yikang Peripheral Vascular Hospital. Finally, I wish you good health.
For more details, please visit the Varicose Veins section of Shanxi Yikang Peripheral Vascular Hospital: http://www.sxykmgy.com/jingmaiquzhang/ or consult experts for free, who will provide detailed answers based on the patient's specific situation.
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