원발성 하지정맥류의 압박경화요법 = Compression Sclerotherapy for Primary Varicose Vein of the Lower Extremities

다국어 초록 (Multilingual Abstract)

Background: Varicose veins are a very common condition that presents in a variety of forms. Treatment mordlities are variant and beneficial. The authors report an experience of compression sclerotherapy using Tromboject(Sodium tetradecyl sulfate) in varicose veins of the lower extremities. Methods: Prospective study was performed in 62 varicose vein patients who were treated with compression sclerotherapy from Mar. 1999 to Mar 2001. Sclerosing agent was used by 1%, 3% sodium tetradecyl sulfate and high concentrated agent was injected in proportion to vessel diameter. And then the patients wore compression stocking for 2 months. Results: The prevalent age group consisted of fourth decade and mean age was 39. The female to male ratio was 3.8:1. The site of varicose vein was similar to both side and major involved vein was greater saphenous vein. Duration of the varicose vein was mostly 1-20 years. All patients were complained of cosmetic problem and other symtoms were heaviness, walking discomfort, pain and leg edema. The most etiologic factor was pregnancy. Average frequency of injection was 1.65±0.55 and mean follow-up periods was 11.9 months. There was no recurrence during follow-up periods. The most patients were satisfied with compression sclerotherapy and satisfaction degree was 4.84±0.42. Hyperpigmentation was developed in all case but normalized after 3-6 months. Other complications was leg edema, superficial thrombophlebitis, and hematoma. Contact dermatitis appeared as complication ,especially summer, due to compression stocking. Conclusion: Compression sclerotherapy showed good results and minimal side effects in varicose vein of the lower extremities. Compression sclerotherapy may be primary treatment in selected cases.