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Ultima descărcare din IBN: 2023-12-14 12:10 |
SM ISO690:2012 BZOVÎI, Florin, CASIAN, Dumitru, CULIUC, Vasile, GUŢU, Eugen. Tratamentul varicotromboflebitei acute: studiu prospectiv observațional controlat . In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 391. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 391-391 | ||||||
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Rezumat | ||||||
Background. Acute varicothrombophlebitis (VTP) of the lower extremities is a common medicalsurgical emergency. Curative approach in VTP is not standardized, and oscillates from urgent surgery to outpatient treatment and follow-up. Objective of the study. The study aim was the comparative analysis of early outcomes after conservative and urgent surgical treatment for acute VTP of the lower limbs. Material and Methods. The study included 125 consecutive patients hospitalized with acute VTP and treated by emergency surgery (ES) or anticoagulant medication (AM). Selection of the curative method was not influenced by study protocol. The evolution of thrombosis (duplex ultrasound), rate and structure of complications and patient's quality of life (ABC-V questionnaire) were analysed at one month after enrolment. Results. AM was used in 72 (57.6%) patients, and ES – in 53 (42.4%). AM was performed with: fractionated heparins (n=10), rivaroxaban (n=20) or both drugs consecutively (n=42). Mean duration of AM – 16.5 days (25%-75% IQR 4-31). ES was performed by conventional approach (n=45) or endovenous laser ablation (n=8). Distal deep vein thrombosis occurred in 6 (11.3%) cases after ES vs 1 (1.4%) – after AM (p˂0.05). There were 9 (16.9%) wound complications in ES group and 2 (2.7%) cases of thrombus extension within the superficial venous system in AM group. Patients treated with AM reported higher quality of life than those after ES: 8.5±2 vs 13.5±4.3 points according to ABCV (P=0.048). Conclusion. The results of study confirm the eligibility of the conservative approach in the treatment of acute VTP with the achievement of early outcomes at least non-inferior to emergency surgery, despite the variability of doses and the suboptimal duration of anticoagulant treatment. |
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Cuvinte-cheie Varicothrombophlebitis, anticoagulant medication, emergency surgery, varicotromboflebită, medicație anticoagulantă, intervenţie chirurgicală |
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