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Register a new userSclerotherapy Treatment of Spider Veins Or Reticular and Isolated of Lower Limb
علاج أوردة الدوالي العنكبوتية أو الشبكية و المعزولة في الطرفين السفليين بالتصليب
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Tishreen University ورقة بحثية
Publication date
2016
fields
Medicine
and research's language is
العربية
Authors
غانم علي أحمد( باحث )
Created by
Shamra Editor
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العروق الدوالية خصوصاً العروق العنكبوتية أَو الشبكيةَ و المَعْزُولةَ مشكلةَ طبيةَ مهمةَ بالإضافة إلى مضارِّ المظهر الجمالي لدى النِساءِ. هناك جدل واسع حول طرقِ علاج أوردة الدوالي. يَتراوحُ العلاجُ مِنْ جراحيِ مؤلمِ إلى محافظِ مروراَ بالإستئصالِ الليزريِ، و الإستئصال بذبذبةِ الراديو. قَدْ يَعْملُ العلاج بالتصليب كعلاج بديلِ مع قليل من التّداخُلِ، قمنا بدِراسَة علاجّيةَ على 35 مريضِ في مستشفى الأسد الجامعي في اللاذقية بين 2014 إلى أيار . 2015 كَانَ كُلّ مريض قَدْ عولجَ بالتصليب عِدّة جلسات، كَانتْ الفترة بين الجلساتِ 2-3 أسابيع. قَدْ تم متابعة كل المرضى لمدة 6 شهورِ بعد المعالجةِ. كَانتْ قَدْ أنتهتْ المعالجة بنجاح عند كل المرضى. لكن ظَهرتْ اختلاطات غير خطرةَ في 54.3 % مِنْ المرضى. عَملنَا تدبير طبي لهذه الاختلاطات. قد أعطى العلاج بالتصليب لعروقِ العنكبوتِ أَو العروقِ الشبكيةِ و المَعْزُولةِ نَتائِجَ ممتازةَ في كُلّ المرضى.
varicose veins particularly the spider veins or reticular and isolated are important medical problem as well as cosmetic harmful for women. there are wide arguments about therapeutic methods for varicose veins. the therapies range from traumatic surgical to conservative through laser ablation, and radiofrequency ablation. sclerotherapy may serve as minimally invasive alternatives, we had done therapeutic studying for 35 patients in ALAssaad university hospital in Lattakia between 2014 to april 2015. every patient had been treated by sclerotherapy several sessions, interval between sessions was 2-3 weeks. all patients had been followed up for 6 months after treatment. the treatment had been successfully finished for all patients. but non-dangerous complications had appeared in 54.3% of patients. we had done medical management for them. the sclerotherapy for spider veins or reticular and isolated veins gave excellent results in all patients.
Artificial intelligence review:
Research summary
تتناول هذه الدراسة علاج أوردة الدوالي العنكبوتية أو الشبكية والمعزولة في الطرفين السفليين باستخدام تقنية التصليب. تم إجراء البحث على 35 مريضاً في مستشفى الأسد الجامعي في اللاذقية بين عامي 2014 و2015. تم علاج المرضى بعدة جلسات بفاصل زمني من 2-3 أسابيع بين الجلسات، وتمت متابعة المرضى لمدة 6 أشهر بعد العلاج. أظهرت النتائج نجاح العلاج في جميع الحالات، على الرغم من ظهور اختلاطات غير خطيرة في 54.3% من المرضى. كانت الاختلاطات تتضمن الألم، التفاعلات الأرجية الموضعية، وفرط التصبغ، لكنها لم تكن مهددة للحياة وتم التعامل معها طبياً. تشير الدراسة إلى أن العلاج بالتصليب قد يكون بديلاً فعالاً وآمناً لعلاج أوردة الدوالي العنكبوتية أو الشبكية والمعزولة، مع تحقيق نتائج ممتازة في جميع المرضى.
Critical review
دراسة نقدية: تعتبر هذه الدراسة خطوة مهمة نحو تحسين علاج أوردة الدوالي العنكبوتية أو الشبكية والمعزولة باستخدام تقنية التصليب. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، عدد المرضى المشمولين في الدراسة محدود نسبياً (35 مريضاً فقط)، مما قد يؤثر على تعميم النتائج. ثانياً، لم يتم استخدام مجموعة مقارنة مع طرق علاجية أخرى مثل العلاج بالليزر أو الجراحة، مما يجعل من الصعب تقييم فعالية التصليب مقارنةً بالخيارات الأخرى. ثالثاً، لم يتم توضيح تفاصيل دقيقة حول المواد المستخدمة في الحقن وتأثيراتها الجانبية المحتملة على المدى الطويل. على الرغم من هذه النقاط، فإن الدراسة تقدم نتائج مشجعة وتفتح الباب لمزيد من الأبحاث في هذا المجال.
Questions related to the research
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ما هي الفئة العمرية الأكثر شيوعاً بين المرضى في الدراسة؟
الفئة العمرية الأكثر شيوعاً بين المرضى هي من 31 إلى 40 سنة بنسبة 43%.
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ما هي نسبة المرضى الذين لم يعانوا من أي اختلاطات بعد العلاج بالتصليب؟
نسبة المرضى الذين لم يعانوا من أي اختلاطات بعد العلاج بالتصليب هي 45.7%.
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ما هي المواد المستخدمة في حقن الأوردة خلال العلاج بالتصليب؟
تم استخدام مادة Chromated Glycerin في حقن الأوردة خلال العلاج بالتصليب.
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كم كانت مدة متابعة المرضى بعد انتهاء العلاج؟
تمت متابعة المرضى لمدة 6 أشهر بعد انتهاء العلاج.
References used
PORTER, J.M.; MONETA, G.L. Reporting Standards In Venous Disease An Update. J Vasc Surg, U.S.A. , Vol. 21 №.4, 1995, 635–645
GUYATT, G. Grading Strength Of Recommendations And Quality Of Evidence In Clinical Guidelines Report From An American College Of Chest. physicians task force Chest U,S.A., Vol. 129, 2006, 174-181
LEOPARDI, D. Systematic Review Of Treatments For Varicose Veins. Ann Vasc Surg. Vol. 23, №.2, 2009, 264-276
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Sample of 60 evaluable patients were included in a prospective study with
Superficial Veins Thrombosis(SVT)on ground of varicose vein lower extremities. the
study achieved at AL-Assad hospital (Latakia) in the period between January 2005 to
Decemb
er 2011. Criteria of inclusion were incompetence (by Duplex investigation ), a
tender indurated cord a long superficial vein, and indurated and heat in the affected area.
Exclusion criteria were obesity, cardiovascular or neoplastic diseases, non-ambulatory
status, SVT without varicose vein. 60 patients ( 41 females, 19 males) included in the
study, 61.6% were between(31–50) years, left lower limb was affected in 48,3 %, Right
40%, and in 11,7 the both, The GSV was affected alone in all cases. Primary surgical
choice was decided almost in all patients, secondary was in 4patients after 1-4 weeks of
medical treatment. The extension level in the GSV determined by color duplex ultrasound
was similar to surgical findings, and above clinical extension level in (5-14) cm. All
surgical intervention was achieved under spinal anesthesia, with no major technical
difficulties. Short term results were good, no(DVT, PE, acute cardiac ischemia, death ),
complications related to surgery(hematoma, seroma5%, wound infection3.3%, wound
necrosis1.7%, lymphatic discharge3.3%) show no difference to un complicated varicose
surgery.
Conclusion: Primary surgical approach can be used with thrombosis of GSV above
knee in varicose patients safely and effectively , color duplex ultrasound scans is
recommended to determine extension of SVT.
Varicose veins affects about 10-59% of the population. Varicose is a clinical reflection of the progressive failure in the veins of the lower limbs. Venous insufficiency is caused by structural imbalances in all layers of the wall of the vein, hence,
the importance of morphologic and statistical studies of the varicose veins of the lower limbs and comparison with normal veins. We had surgery for varicose 43 patients. We examined all samples of varicose veins and normal veins of three patients with pathological studies. Average age was 40.58 years. The study was done macroscopically and microscopically, taking different histological sections of varicose and normal veins. Routine and special Dyes were used, in order to detect changes in the compositional elements of the vein wall. We reached the following conclusions and recommendations: the presence of certain changes in the quality and quantity in all pathologic samples along connective tissue elements and smooth muscle fibers, distributed in all layers of the wall of the vein definitively; the need to start treating varicose veins early as possible in order to avoid its development and access to complications; it is useful to attempt to study the relationship between the appearance of varicose veins and blood group of the patient.
the research performed by the ITP study group in 2006[15] studying the efficacy
of single dose IV-Rhesus antibodies (Anti-D) "50 ug/kg or 75 ug/kg" compared to the single dose IVIG
"800 mg/kg"; that study revealed that both have a similar therapeutic effect. that study suggest to compare the single high dose of Anti-D withthree consecutive doses of Methyl-prednisolone in respect of:
1- Time of platelet recovery
2- The continuity of mediation effect throughout ( 6 months)
3- Side effects, hospitalization and cost.
The aim of the research was to study seasonal changes communities of spider mites
and predatory mite Typhlodromus athiasae Porath and Swirski on two apple cultivars
(Golden and red Delicious) from orchards located in two regions: Al-Mokharam and Al
-
Qusayr during the beginning May 2013 and the end of October 2014. The results showed
that the highest density of the spider mites was in two essential period in early and mid
summer, while T.athiasae started its active with started pery active, that started appear in
the may, and the top of its number was in July, The mean density of the mite predator and
spider mites was higher on the red Delicious apple cultivar compared to Golden Delicious
with significant differences, and its presence was higher in the Al-Qusayr region compared
to the Al-Mokharam region with significant differences, also remarked this predator on
some surrounding vegetation in these orchards.
Soccer game is one of the more games that players are exposed to sports injuries and the reason for this is due to the large increase of the practitioners of this game as well as the characteristics of this game that are frequently the friction betwe
en the players. Therefore, this studyis concerned to identify the causes leading to the occurrence of injuries in the lower limb among soccer players in the clubs lattakia city . In addition the comparison between the clubs of lattakia city from where the occurrence of lower limb injuries by variables ( Type - Classification of dangerous - Location – Form ) to the soccer players. The study sample included 43of the players from men's clubs in the city of Lattakia, where the questionnaire was designed and distributed to injured players and then were collected questionnaire by the researcher. The study found that there is a difference in the causesleading to the occurrence of sports injuries among soccer players in the club and another. In addition to that . different types of infections , forms , classification of seriousness and where they occur in the lower limb among football players between club and another .
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