DYNAMICS OF THE QUALITY OF LIFE OF PATIENTS WITH COMBINED PRIMARY SYMPTOMATIC VARICOSE VEINS OF THE LOWER LIMBS, AXILLARY CANAL AND PERINEAL DURING PREGNANCY DEPENDING ON TREATMENT METHODS
DOI:
https://doi.org/10.11603/2414-4533.2025.4.15748Keywords:
quality of life in pregnant women, CIVIQ-20 questionnaire, pathological venous refluxAbstract
The aim of the work: to conduct a comparative assessment of the quality of life of patients with combined primary symptomatic varicose veins of the lower extremities, inguinal canal and perineum during pregnancy, depending on the methods of treatment.
Materials and Methods. The dynamics of quality of life from the method of treatment of combined primary symptomatic varicose veins of the lower extremities, perineum, inguinal canal during the gestational period were analyzed in 85 pregnant women. To assess the quality of life before and after treatment, the CIVIQ-20 questionnaire was used. The severity of the course of chronic vein disease was studied using the VCSS scale. deep), inguinal canal and perineum before and after treatment.
Results. Pregnant women were divided into 3 groups depending on the method of treatment.Patients of the first group consisting of 25 (29. %) pregnant women, 5 of whom completely refused treatment for one reason or another, 20 received treatment irregularly, not in full. Pregnant women of the second group consisting of 30 (35.29 %) patients received conservative treatment in combination with compression therapy. The third group, 30 (35.29 %) patients who agreed to open surgery, which was supplemented with compression therapy as needed. Treatment was carried out in 70.59 % of patients in the II–III th trimesters of pregnancy in the volume according to indications, depending on the trimester also at the request of patients. Analyzing the effect of treatment methods on the quality of life and severity of chronic vein disease of pregnant women suffering from combined primary symptomatic progressive varicose veins of the lower extremities, perineum and inguinal canal, external genital organs, we came to the conclusion that qualitatively performed, according to patients, open surgical treatment of this pathology is the most effective and long-lasting in terms of positive results both during pregnancy and in the postpartum period.
Conclusions. Combined primary symptomatic progressive chronic varicose veins of the lower extremities, perineum, external genitalia, and inguinal canal belong to diseases with a progressive course that affect the course of pregnancy and quality of life. The use of the CIVIQ-20 questionnaire and the VCSS clinical severity scale is maximally specific for patients with chronic venous disease. The results of the QOL study provide valuable additional information about the role of treatment methods in chronic venous insufficiency.
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