静脉功能不全

（静脉曲张及伤口）

Veins are the soft blood vessels of the body which bring blood back to the heart after it has been used in the body to deliver oxygen. 血 flows slowly in the veins and have to fight gravity to travel all the way from the legs back up into the chest. 阀体采用单向阀 to allow the blood to travel up in increments but sometimes these valves do not work well (become faulty), and that condition is called “venous 机能不全.” Most commonly, the veins affected are the greater saphenous and small saphenous veins (GSV/SSV).

Signs and symptoms of venous 机能不全 in the legs include: Varicose (bulging) veins, leg swelling, darkening of the skin around the shins/ankles, wounds around the shins/ankles, tenderness, burning, itching, heaviness, fatigue, and blood clots (venous thrombosis/DVT/SVT).

Risk factors for venous 机能不全 include: Family history of varicose veins, long periods of standing or sitting-often related to your job, and history of blood clots in the legs.

测试包括: Venous 机能不全 ultrasound which includes special maneuvers such as squeezing the leg gently to examine forward/backwards flow within the veins.

Venous 机能不全 can affect your quality of life and successful treatment can greatly help improve your daily comfort.

治疗:

压缩袜子 are a non-invasive therapy that can either be standalone treatment for venous 机能不全 or an aid for your Vascular Surgeon to determine if surgical management is more likely to be successful for you. 大多数治疗 plans include a trial of compression and this is often required by your insurance company prior to any vein procedures.

射频消融（RFA） is a longstanding vascular procedure used to close down faulty veins so that the body can redirect blood to travel in the good veins instead. Your surgeon places a special catheter in the GSV or SSV and then injects a surrounding layer of fluid around the vein to protect the tissues from any generated heat while the RFA is performed.

VenaSeal is an innovative method to close down faulty veins using a surgical adhesive 静脉内的胶水. Similarly, the body redirects blood to the good veins once the faulty vein is closed by the glue. 因为这个过程 does not generate heat, injection of fluid is not necessary around the 治疗前静脉. 病人 who are sensitive to adhesives or allergic 不应该做这个手术吗.

硬化疗法 is injection of a special medical foam which chemically irritates the inside of the faulty veins so they can form scar and close down so your blood can be re-directed to the good veins.

静脉切除术 are surgical excisions of large varicose veins through small incisions. These veins are too large to close down with any of the methods mentioned above.

All of these procedures are often comfortably done right in our outpatient clinic as opposed to performing them in the hospital.

Many patients require a combination of the above treatment options performed 在一段时间内. Venous disease is complex and even if you have had vein procedures in the past, the disease can come back on its own 与衰老. Talk to your primary doctor about a referral to a Vascular Surgeon to develop the treatment plan that is right for you.