Usually consider only varicose disease of lower limbs. This is the most common localization of the disease.
But varicose veins can affect almost all of the veins.
Varicose vessels in the large and / or small saphenous vein leads to the development flebektazy feet.
Varicose veins of lower extremities is divided into:
top-down view - the development process goes on the greater saphenous femoral vein from its mouth);
bottom-up view - starts with the feet and is due mainly valvular incompetence of deep veins hip, leg and foot).
There is a type of varicose veins as a defeat of the upper extremities - in the form of congenital anomaly disease (Parkes-Weber-Rubashov), multiple arteriovenous fistulas and aneurysms) or secondary varicose veins due to thrombosis of the axillary or subclavian vein.
Found the formation of varicose veins of the perineum, buttocks and external genitalia, both male and female. Superficial varicose veins form the character of the structure of subcutaneous network is divided into trunk, loose and mixed type.
There are internal and varicose veins.
Gonadal vein ectasia and / or intrapelvic vascular plexus is observed in case of varicose veins of the pelvic organs. Veins of the spermatic cord and testicle - varicocele. Due to increased pressure in the portal system develops flebektaziya esophagus, rectum (hemorrhoids). The latter may also be the result of local circulatory disturbances in the cavernous formations. The configuration of ectatic areas varicose veins can be threadlike, saccate and capillary. Clinical classification of varicose veins is based on the form of the disease and the severity of venous insufficiency. Thus, isolated varices intra-and subcutaneous, is not accompanied by veno-venous discharge, segmental reflux in the superficial and / or perforating veins and the analogous common, as well as flebektazii against failure of valves of deep veins, which are used to reset.
Depending on the severity of pathological changes of venous blood flow determine the stage of compensation, sub-and decompensation.
There are four degrees of chronic venous insufficiency, the establishment of which is carried out based on the severity of flebektazii, absence or presence of venous and hemodynamic disturbances. Separately indicate the complications of varicose veins (if available). It may be subcutaneous hemorrhage, external bleeding, dermatitis, erysipelas, eczema paratravmaticheskaya, lympho-venous stasis, allergic edema, acute thrombosis of the superficial or deep veins, and venous trophic ulcer, which has three phases of wound healing process (exudation, repair and epithelialization) .
