INFLUENCE OF GONARTHROSIS ON THE COURSE AND EFFECTIVENESS OF TREATMENT OF VARICOSE VEINS
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Abstract
Summary. Relevance. Gonarthrosis (GA) in patients with varicose veins of the lower extremities (VVNK) is more common than in the general population, and degenerative changes in the knee joints worsen the course of this vascular pathology.
Objective: to evaluate the effect of HA on the course and effectiveness of surgical methods for the treatment of CVLE, to identify prognostic criteria.
Materials and methods. There were 310 patients under observation (73 men and 237 women aged 29–72 years), 16% of whom had previously suffered phlebothrombosis, and the frequency of II, III, IV, V and VI classes of venous insufficiency was 10, 14, 37, 16 and 23 %. Endovenous laser coagulation was performed in 263 patients, 39 - traditional phlebectomy or perforator ligation.
Results. HA was diagnosed in 18% of patients with SMV of the legs, more often in men of older age groups with involvement of the great saphenous vein with its near-mouth expansion and a combination with arteriosclerosis of the vessels of the lower extremities, which is accompanied by more pronounced classes of venous insufficiency, while clinical laboratory manifestations of varicose veins are influenced by the stage of the disease, changes in the horns of the menisci, the presence and severity of subchondral sclerosis, osteocystosis, synovitis, Baker's cysts, intra-articular bodies of Steidi and Goff, and the effectiveness of the results of therapeutic surgical measures in patients with GA is worse, with complete occlusion of the vein a month after endovenous laser ablation is observed 2.5 times less often, and the number of complications is 7 times more often, which is determined by subchondral sclerosis, osteousurs, Baker's cysts and Hoff's intraarticular bodies.
Conclusions. The presence of HA is a risk factor for a more severe course of varicose veins of the legs, a negative prognostic factor in relation to the effectiveness of surgical treatment of this disease and the number of complications.
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References
Abdurakhmanovich , K. O., & Javlanovich , Y. D. (2022). Magnetic Resonance Tomography for Damage to the Ligamentous Structures of the Knee Joint. CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES, 3(2), 27-34. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/617
Abdurakhmanovich , K. O., & Servetovna , A. A. (2022). Guidelines for Ultrasound Examination in Gynecological Diseases. CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES, 3(2), 22-26. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/616
Abdurakhmanovich, K. O., & ugli, G. S. O. (2022). Ultrasonic Diagnosis Methods for Choledocholithiasis. CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES, 3(2), 43-47.
Abdurakhmanovich, K. O., & ugli, G. S. O. (2022). Ultrasound Diagnosis of the Norm and Diseases of the Cervix. CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES, 3(2), 58-63.
Abdurakhmanovich, Khamidov Obid, Akhmedov Yakub Amandullaevich, Ataeva Saodat Khurshedovna, Ametova Alie Servetovna, and Karshiev Behruz Orif ugli. 2021. “Role of Kidney Ultrasound in the Choice of Tactics for Treatment of Acute Renal Failure”. CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES 2 (4), 132-34. https://doi.org/10.47494/cajmns.v2i4.263.
Akhmedov Y.A., Rustamov U.Kh., Shodieva N.E., Alieva U.Z., Bobomurodov B.M. Modern Application of Computer Tomography in Urology. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.121-125
Amandullaevich AY, Danabaevich JK. Ultrasound Diagnosis of Hirschsprung’s Disease in Children. CAJMNS [Internet]. 2022Mar.3 [cited 2022May24];3(2):64-1. Available from: https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/623
Amandullaevich AY, Zafarjonovich UZ. Possibilities of MRI Diagnostics of Focal Liver Defeats. CAJMNS [Internet]. 2022Mar.3 [cited 2022May24];3(2):35-2. Available from: https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/618
Amandullaevich, Akhmedov Yakub, Rustamov Umar Khaidarovich, Shodieva Nodira Egamberdievna, Alieva Umida Zairovna, and Bobomurodov Bektosh Mamadiyorovich. 2021. “Modern Application of Computer Tomography in Urology”. CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES 2 (4), 121-25. https://doi.org/10.47494/cajmns.v2i4.261.
Ametova Alie Servetovna, Saitkulova Shahribonu Rakhmatillevna, Khaidarova Aziza Anvarovna. Early Rheumatoid Arthritis: Possibilities Of Mri Diagnosis. TJMS [Internet]. 2022 Feb. 24 [cited 2022 May 24];5:260-6. Available from: https://zienjournals.com/index.php/tjm/article/view/879
Ataeva S.Kh., Ravshanov Z.Kh., Ametova A.S., Yakubov D.Zh. Radiation visualization of chronic joint diseases. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.12-17
Ataeva Saodat Khurshedovna, Ravshanov Zafar Khazratkulovich, Ametova Alie Servetovna, and Yakubov Doniyor Zhavlanvich. 2021. “Radiation Visualization of Chronic Joint Diseases”. CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES 2 (2), 12-17. https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/107.
Fox J.D. Ankle range of motion, leg pain, and leg edema improvement in patients with venous leg ulcers / J.D. Fox, K.L. Baquerizo-Nole, J.B. Freedman [et al.] // JAMA Dermatol. — 2016. — Vol. 152, № 4. — P. 472-474.
Is lower extremity vein pathology a risk factor for the development of osteoarthritis of the knee joint? / I. Yu. Khodzhanov, B. M. Mamasoliev, A. N. Tkachenko [et al.] // Ural medical journal. – 2022. – Vol. 21, № 2. – Р. 19-25. http://doi.org/10.52420/2071-5943-2022-21-2-19-25.
Khamidov O. A., Khodzhanov I. Yu., Mamasoliev B.M., Mansurov D.Sh., Davronov A.A., Rakhimov A.M. The Role of Vascular Pathology in the Development and Progression of Deforming Osteoarthritis of the Joints of the Lower Extremities (Literature Review). Annals of the Romanian Society for Cell Biology, Romania,Vol. 25, Issue 1, 2021, Pages. 214 – 225
Khamidov O.A., Akhmedov Y.A., Ataeva S.Kh., Ametova A.S., Karshiev B.O. Role of Kidney Ultrasound in the Choice of Tactics for Treatment of Acute Renal Failure. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.132-134
Khamidov O.A., Akhmedov Y.A., Yakubov D.Zh., Shodieva N.E., Tukhtaev T.I. DIAGNOSTIC POSSIBILITIES OF USES IN POLYKYSTOSIS OFKIDNEYS. Web of scientist: International scientific research journal, volume 2 issue 8 August 2021 P.27-33
Khamidov O.A., Ataeva S.Kh., Ametova A.S., Yakubov D.Zh., Khaydarov S.S. A Case of Ultrasound Diagnosis of Necrotizing Papillitis. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.103-107
Khamidov O.A., Ataeva S.Kh., Yakubov D.Zh., Ametova A.S., Saytkulova Sh.R. ULTRASOUND EXAMINATION IN THE DIAGNOSIS OF FETAL MACROSOMIA. Web of scientist: International scientific research journal, volume 2 issue 8 August 2021 P.49-54
Khamidov O.A., Mirzakulov M.M., Ametova A.S., Alieva U.Z. Multispiral computed tomography for prostate diseases. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.9-11
Khamidov O.A., Normamatov A.F., Yakubov D.Zh., Bazarova S.A. Respiratory computed tomography. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.1-8
Khamidov O.A., Urozov U.B., Shodieva N.E., Akhmedov Y.A. Ultrasound diagnosis of urolithiasis. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.18-24
Khamidov O.A., Yakubov D.Zh., Alieva U.Z., Bazarova S.A., Mamaruziev Sh.R. Possibilities of Sonography in Differential Diagnostics of Hematuria. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.126-131
Khamidov O.A., Yakubov D.Zh., Ametova A.S., Bazarova S.A., Mamatova Sh.T. Application of the Ultrasound Research Method in Otorhinolaryngology and Diseases of the Head and Neck Organs. International Journal of Development and Public Policy, volume 1 issue 3 August 2021 P.33-37
Khamidov O.A., Yakubov D.Zh., Ametova A.S., Turdumatov Zh.A., Mamatov R.M. Magnetic Resonance Tomography in Diagnostics and Differential Diagnostics of Focal Liver Lesions. Central Asian journal of medical end natural sciences, volume 2 issue 4 Jul-Aug 2021 P.115-120
Khodzhibekov M.X., Khamidov O.A., Mardieva G.M. Verification of radiation methods in diagnostics of injuries of the knee joint intra-articular structures. International Journal of Pharmaceutical Research. 2020:13(1), p. 302-308.
Khurshedovna AS, Danabaevich JK. Ultrasound Diagnosis of Fetoplacental Insufficiency. CAJMNS [Internet]. 2022Mar.3 [cited 2022May24];3(2):53-7. Available from: https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/621
Khurshedovna AS, Zafarjonovich UZ. Ultrasound Examination for the Diagnosis of Acute Appendicitis. CAJMNS [Internet]. 2022Mar.3 [cited 2022May24];3(2):72-7. Available from: https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/624
Markovic-Denic L. Risk factors and distribution of symptomatic venous thromboembolism in total hip and knee replacements: prospective study / L. Markovic-Denic, K. Zivkovic, A. Lesic [et al.] // Int. Orthop. — 2012. — Vol. 36, № 6. — P. 1299-1305.
McAndrew C.M. Incidence of postthrombotic syndrome in patients undergoing primary total knee arthroplasty for osteoarthritis / C.M. McAndrew, S.J. Fitzgerald, M.J. Kraay, V.M. Goldberg // Clin. Orthop. Relat. Res. — 2010. — Vol. 468, № 1. — P. 178-181.
Meissner M.H. What is effective care for varicose veins? / M.H. Meissner // Phlebology. — 2016. — Vol. 31, № 1. — P. 80-87.
Rustamov U.Kh., Shodieva N.E., Ametova A.S., Alieva U.Z., Rabbimova M.U. US-DIAGNOSTICS FOR INFERTILITY. Web of scientist: International scientific research journal, volume 2 issue 8 August 2021 P.55-61
Rustamov U.Kh., Urinboev Sh.B., Ametova A.S. Ultrasound diagnostics of ectopic pregnancy. Central Asian journal of medical end natural sciences, volume 2 issue 2 March-aprel 2021 P.25-28
Zhavlanovich YD, Servetovna AA. Ultrasonography and its Role in Clinical Diagnosis. CAJMNS [Internet]. 2022Mar.3 [cited 2022May24];3(2):48-2. Available from: https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/620
Нamidov Obid Abdurahmаnovich. "DIAGNOSTICS OF INJURIES OF THE SOFT TISSUE STRUCTURES OF THE KNEE JOINT AND THEIR COMPLICATIONS" European research, no. 1 (37), 2020, pp. 33-35.
Хamidov Obid Abduraхmаnovich, Optimization of Radiological Diagnostics of Injuries of the Soft Tissue Structures of the Knee Joint and Their Complications, American Journal of Medicine and Medical Sciences, Vol. 10 No. 11, 2020, pp. 881-884. doi: 10.5923/j.ajmms.20201011.10.
Ходжибеков М.Х., Хамидов О.А. Обоснование ультразвуковой диагностики повреждений внутрисуставных структур коленного сустава и их осложнений. №3 (31), 2020. С.526-529.