Traditional Culture Encyclopedia - Traditional culture - What are the methods for treating varicose veins of lower limbs?

What are the methods for treating varicose veins of lower limbs?

First, conservative treatment.

Avoid standing for a long time and sitting for a long time, change living habits, exercise calf muscles, quit smoking and drinking, and wear varicose elastic socks.

Second, medication.

1. Foam sclerosing agent: It is widely used in the treatment of telangiectasia and reticular varicose veins, which just solves the difficulties of traditional surgery and small-diameter vein occlusion. Foam sclerosing agent is used alone in the treatment of venous insufficiency of lower limbs, or in combination with traditional surgery and endovascular treatment. Ordinary hardeners such as polidocanol and sodium tetradecyl sulfate are used.

2. Intravenous injection of active drugs: it can increase venous tension, reduce vascular permeability and reduce limb swelling, such as flavonoids and saponins.

Third, surgical treatment.

1. High ligation and stripping of great saphenous vein: The traditional high ligation of great saphenous vein combined with stripping of great saphenous vein and point stripping has been used to treat simple varicose veins for nearly a hundred years. The traditional high ligation and stripping of great saphenous vein is effective, but this treatment method has a slow recovery and will cause great trauma, leaving many surgical scars for patients.

2. Intracavitary laser radiofrequency treatment: Intracavitary laser treatment of varicose veins is a minimally invasive treatment method that was applied to clinic earlier. This therapy takes hemoglobin as the medium to denature the affected protein, thus achieving the expected therapeutic effect. Compared with traditional surgical treatment, it is safe, minimally invasive and does not affect the appearance.

3. Percutaneous Translucent Dynamic Venectomy: The treatment of varicose veins has its unique advantages, especially for extensive and severe varicose veins, skin pigmentation and/or skin ulcers, and recurrent varicose veins after injection of sclerosing agent. However, some scholars believe that percutaneous transluminal arteriovenous resection will cause more trauma to patients and the incidence of postoperative complications is higher.

Fourth, other treatments.

Sclerosing agent injection compression therapy: it can achieve the advantages of no surgical incision and no surgical scar, but it is only suitable for adjuvant treatment of local mild varicose veins or traditional varicose veins surgery, and the indications for treatment need to be strictly controlled.