What is the best way to treat saphenous vein thrombosis? Ask for answers

Under the conditions of slow venous blood flow, hypercoagulable state of blood and intimal damage of blood vessels, acute non-purulent inflammation of the veins occurs, and secondary thrombotic diseases. The vast majority of venous thrombosis occurs in the deep veins of the pelvis and lower extremities. It is more common in postpartum patients, fractures and trauma, and post-operative patients.

Limb pain, swelling, superficial venous distension, and palpable cords along the vein should be considered. Ultrasound Doppler and radionuclide venography may be helpful. Thrombosis tends to fall off in the early stage, which can cause large pulmonary infarction and is often one of the causes of sudden death.

Therefore, streptokinase or urokinase thrombolysis** should be used in the early stages, followed by anticoagulation with heparin or coumarin** to prevent thrombosis from forming and spreading.

Venous thrombosis is usually caused by a combination of factors such as damage to the blood vessel wall, slowing of venous blood flow, and blood hypercoagulability. At this time, acute non-purulent inflammation of the veins occurs, followed by the formation of thrombosis. Anticoagulation** or thrombolysis is generally recommended** and surgical thrombectomy may be performed if necessary**.

There are also multiple surgical methods, and the specific situation is analyzed on a case-by-case basis, and it is recommended to go to the hospital for a comprehensive examination first.

Hello Meng: From the symptoms and signs you described and the results of auxiliary examinations, it can be seen that you are now suffering from superficial thrombophlebitis.

The disease is also in the acute inflammatory phase, manifested by redness, swelling, heat and pain, and the appearance of a cord-like hard joint along the vein walking site, which is about 7-12 days, and then the color changes dark red, and the tenderness is reduced, but it may take several months for the induration to completely resolve. The prognosis is good, so don't worry. But be vigilant.

Deep vein thrombosis.

Timely review of venous ultrasound of the lower limbs.

Thrombosis is very harmful to health, so it needs to be standardized in a timely manner, which can lead to local vascular occlusion, cause ischemia and necrosis, or embolism caused by embolism, as well as complications such as local phlebitis, it is recommended that you still have a timely face-to-face consultation, and the doctor will deal with it according to your specific situation.

It is recommended that you go to the Sichuan Shu varicose vein hospital and ask the doctor, the doctor is more reliable.

Quit smoking, because smoking can change the viscosity of the blood, and the blood becomes viscous and easy to stagnate.

The thrombosis of the saphenous vein** method, because this is a thrombus of the superficial vein, so the patient will show local redness, swelling, pain, ** temperature increase, and can palpate the hard cord. In this case, the patient can first be conservative** when he comes to the hospital, and be given anticoagulant drugs and drugs to promote blood circulation and remove blood stasis to control the symptoms and avoid the further development of blood clots. Once the condition is stable, surgery can be performed on the treated vein**, which can be performed in a minimally invasive manner or as an open surgery.

If there are more blood clots in the saphenous vein, minimally invasive surgery is not very advantageous, and it may not be ideal for the resection of the saphenous vein, so you can choose the traditional surgical method to ** combined with saphenous varicose veins with thrombosis.

There are many causes of varicose veins of the lower limbs, the most common is simple superficial varicose veins of the lower limbs, which is mainly due to the insufficiency of the femoral saphenous vein valve. Another important ** is seen in primary lower extremity deep vein valve insufficiency (PDVI), which is often associated with saphenous vein valve insufficiency, which often presents with tortuous dilation of superficial veins. In addition, post-deep vein thrombotic syndrome of the lower extremities, in which superficial veins compensate for tortuous dilation occur due to poor deep venous return; Lower extremity arteriovenous fistula and venous malformation hyperosteopathy syndrome can also have superficial varicose veins of the lower extremities; Obstruction of inferior vena cava return, such as Budd-Chiari syndrome, can also lead to varicose veins in the lower extremities.

Pain is more common in areas such as calf drains, thighs, or groin, but not in the feet or toes. Swelling of the lower extremities is the main or only symptom, and the vast majority of cases are unilateral swelling of the lower extremities, with the exception of a few that manifest as bilateral lower extremity swelling due to inferior vena cava thrombosis. The degree of swelling depends on the degree and extent of the vein occlusion.

Persistent inability to resolve on its own. These symptoms are exacerbated especially when walking. Generally speaking, patients with excess weight, hyperlipidemia, high uric acid, diabetes and women who are taking contraceptive pills will have a higher probability of suffering from "thrombosis", and special attention should be paid to the prevention of thrombosis.

Affected by external factors, standing or sitting for a long time, after surgery, poor blood circulation in the lower limbs for a long time, may lead to the formation of saphenous varicose veins, and the accumulation of time may be complicated by the formation of saphenous vein thrombosis.

For those with edema in the lower limbs, the patient's limbs should be elevated, and the conservative method of combining traditional Chinese and Western medicine should be adopted. Anticoagulation** is generally not required for localized superficial phlebitis and should be given anticoagulation** in patients with extensive or progressive superficial phlebitis, analgesics** in severe pain, and antibiotics in patients with inflammation.

Varicose veins refer to the tortuosity and dilation of veins due to factors such as blood stagnation and weak venous walls. Varicose veins can occur in many parts of the body, such as hemorrhoids are actually a kind of varicose veins, and clinical manifestations include esophageal and gastric varices, varicoceles and abdominal wall varices. Varicose veins most often occur in the lower extremities.

It is worth emphasizing that varicose veins are secondary manifestations of other lesions.