Turkiye Klinikleri Cardiovascular Sciences

.: ORIGINAL RESEARCH
Alt Ekstremite Venöz Yetmezliğinde Transkutan Radyofrekans Uygulanan Hastaların Sonuçları: Tek Merkezli Karşılaştırmalı Çalışma
Results of Patients Who Underwent Transcutaneous Radiofrequency in Lower Extremity Venous Insufficiency: Single Center Comparative Study
Rukiye Derin ATABEYa
aErciyes Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi ABD, Kayseri, TÜRKİYE
Turkiye Klinikleri J Cardiovasc Sci. 2020;32(3):97-102
doi: 10.5336/cardiosci.2020-79554
Article Language: TR
Full Text
ÖZET
 Amaç: Kronik venöz hastalık (KVH), günlük yaşamı etkileyen, tanı ve tedavi maliyetinin yüksek olduğu bir sağlık sorunudur. Bu çalışmada, KVH tanısına sahip klinik, etiyolojik, anatomik, patofizyolojik [clinical-etiological-anatomical-pathophysiological (CEAP)] sınıflamasına göre C1s/a olan hastalarda, radyofrekans (RF)ın tedavideki etkinliğinin tespit edilmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışma, KVH nedeniyle 2018-2019 yılları arasında Erciyes Varis Tedavi Merkezine başvuran, CEAP sınıflamasına göre C1s/a olan hastalar dâhil edilerek yapılmıştır. Hastalar, uygulanan tedavi yöntemlerine göre 2 gruba ayrıldı. Grup 1'deki hastalara; 27.12-MHz RF tedavisi, venoaktif ilaç [venoactive drug (VAD)] tedavisi (kalsiyum dobesilat), işlem sonrası kompresyon tedavisi ve antistaz egzersiz tedavileri uygulanmıştır. Grup 2'deki hastalara ise VAD tedavisi (kalsiyum dobesilat), kompresyon tedavisi (Class 1) ve antistaz egzersiz tedavileri uygulandı. Bulgular: Çalışmaya, medyan yaşı 41 (35,25-46) olan 61 (%50,8)'i kadın ve 59 (%49,16)'u erkek, toplamda 120 hasta dâhil edildi. Grup 1'deki hastaların yaşlarının medyan değeri 40 (33,25-44), Grup 2'deki hastaların ise 42 (37-49,5) olarak bulundu. Hastalar, semptomatik olma durumuna göre incelendiğinde 96 (%80) hastanın asemptomatik, 24 (%20) hastanın ise semptomatik olduğu tespit edildi. Semptomlarda ise en sık ağrı (%25) ve bacak şişliği (%15) görüldü. Sonuç: KVH'nin primer tedavisi, hastaların eğitimi ve yaşam tarzı değişiklikleridir. KVH'de kompresyon çorapları ve medikal tedavinin yanında RF, hastaların klinikleri üzerine olumlu etki gösterebilecek alternatif bir tedavi yöntemi olarak düşünülebilir.

Anahtar Kelimeler: Venöz yetmezlik; radyofrekans; telenjiektazi
ABSTRACT
 Objective: Chronic venous disease (CVD) is a health problem that affects daily life and has a high diagnosis and treatment cost. In this study, it was aimed to determine the efficacy of radiofrequency (RF) in patients with C1s/a according to clinical-etiologicalanatomical-pathophysiological (CEAP) classification with CVD diagnosis. Material and Methods: This study was conducted by including patients with C1s/a according to the CEAP classification who applied to Erciyes Varicose Treatment Center between 2018-2019 due to CVD. The patients were divided into 2 groups according to the treatment methods applied. Patients in Group 1; 27.12-MHz RF therapy, venoactive drug (VAD) therapy (calcium dobesilate), post-procedure compression therapy and antistase exercise treatments were applied. VAD therapy (calcium dobesilate), compression therapy (Class 1) and antistase exercise treatments were applied to the patients in Group 2. Results: A total of 120 patients, 61 (50.8%) female, 59 (49.16%) male, with a median age of 41 (35.25-46) were included in the study. The median value of the ages of the patients in Group 1 was 40 (33.25-44), and 42 (37-49.5) in the Group 2. When the patients were examined according to their symptomatic status, it was found that 96 (80%) patients were asymptomatic and 24 (20%) patients were symptomatic. Among the symptoms, pain (25%) and leg swelling (15%) were the most common. Conclusion: Primary treatment of CVD is education and lifestyle changes of patients. In addition to compression stockings and medical treatment in CVD, RF can be considered as an alternative treatment method that can have a positive effect on patients' clinics.

Keywords: Venous insufficiency; radiofrequency; telangiectasia
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