Varicose veins in adolescents: A prospective cohort study

Abstract

The article describes the experience of diagnostics and treatment of chronic diseases of the veins of the lower extremities in 164 female patients. Objective. To study the results of diagnosis and treatment of varicose veins in adolescent and adult females. Patient characteristics and research methods. The authors carried out a prospective study, they analyzed health condition of a group of adolescents and examined this group in 5 years later (the adult part of the study). The authors used clinical examination for diagnostics (disease assessment according to CEAP classification), ultrasound examinations, telephone interviews. Re-examination of the patients showed good long-term results of treatment. There were no re-operations. Results. According to the data of a five-year follow-up, interventions were performed in 4 (4%) cases in the study group. The proportion of cured patients remained without significant changes. Conclusion. 1. Phlebology of childhood is characterized by the predominance of uncomplicated forms of varicose veins, with a simultaneous high concern about the disease of the patient and parents. 2. Timely surgical and laser interventions and the prescribed nonsurgical treatment program allow achieving a lasting improvement in the majority of patients with good long-term results. 3. Observation of patients with chronic venous diseases during their transition to the adult age group shows the preservation of good results in the majority of cases.