| Popis: |
The aim: To estimate the patients' quality of life after surgery made by the in-house devices and methods.Materials and methods: According to the peculiarities of surgical treatment, the set of instruments used and the methods of its application during surgery, all patients were assigned into two groups: group І (comparison group, or retrospective group) involved 48 (58.5%) patients who received treatment at the Vascular Surgery Department and had contraindications to endovascular laser and radiofrequency ablation, as evidenced by ultrasonographic color angioscanning (USCAS). These patients underwent typical phlebectomies, which were performed using a standard set of instruments; group ІІ (prospective) involved 34 (41.5%) patients treated in the Surgery Department. Patients of this group also had contraindications to endovenous laser and radiofrequency ablation, which was confirmed by USCAS data.Results: It has been found that following the six months after treatment, no patient in Group II and Group I measured the quality of life unsatisfactory. Satisfactory measures were made by 6 (12.5%) and 2 (5.9%) patients in Group I and Group II, respectively. Good scores of quality of life was established in 33 (68.75%) and 19 (55.9%) patients, respectively. Excellent scores were observed in patients of Group I (9 (18.75%)) and Group II (13 (38.2%)). In addition, in our survey, patients' responses were divided into three categories: "Never", "Rarely", "Quite often", "Very often", "Constantly". That is, with a negative outcome (incomplete disappearance of the symptom, its apparent reduction), we can observe the dynamics of positive changes.Conclusions: Patients of Group II had a higher rates of quality of life, because the process of ulcer healing was faster, pain was reducing, contributing to improvement of the patient's psycho-emotional state. In addition, the examined 29 (85.3%) patients of Group II noted that even with the preservation of some symptoms, their subjective manifestations were reducing leading to health improvement. All this contributes to improving the quality of life of patients with trophic ulcers of the lower extremities, which were treated according to our methods. |
