asurgeryАмбулаторная хирургияAmbulatornaya khirurgiya = Ambulatory Surgery (Russia)2712-87412782-2591ООО «ГРУППА РЕМЕДИУМ»10.21518/1995-1477-2019-1-2-14-18asurgery-130Research ArticleФЛЕБОЛОГИЯ | АНГИОЛОГИЯPHLEBOLOGY | ANGIOLOGYВульварный и промежностный варикоз у беременныхVulvar and perineal varicose veins in pregnant womenДженинаО. В.DzheninaO. V.

Дженина Ольга Вадимовна – кандидат медицинских наук, врач-флеболог, ведущий специалист Первого флебологического центра.

117447, Москва, ул. Дмитрия Ульянова, д. 31; тел.: +7 (495) 967-94-42.

 

Dzhenina Olga Vadimovna – Cand. of Sci. (Med.), Phlebologist, Leading Specialist  of First Phlebology Center.

117447, Moscow, Dmitry Ulyanov St., 31; tel.: +7 (495) 967-94-42.

dzhenina@rambler.ruhttps://orcid.org/0000-0002-3940-0787БогачевВ. Ю.BogachevV. Yu.

Богачев Вадим Юрьевич – доктор медицинских наук, профессор кафедры факультетской хирургии № 2  РНИМУ имени Н.И. Пирогова МЗ РФ; научный руководитель Первого флебологического центра.

117447, Москва, ул. Дмитрия Ульянова, д. 31; 117997, Москва, ул. Островитянова, д. 1; тел.: +7 (499) 955-44-53.

Bogachev Vadim Yurievich – Dr. of Sci. (Med.), Professor of Chair of Intermediate Level Surgery No. 2,Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation; Scientific Supervisor of  First Phlebological Center.

117447, Moscow, Dmitry Ulyanov St., 31; 117997,  Moscow, Ostrovityanova  St., 1; tel .: +7 (499) 955-44-53.

vadim.bogachev63@gmail.comБоданскаяА. Л.BodanskayaА. L.

Боданская Антонина Львовна – врач-флеболог, лимфолог.

117447, Москва, ул. Дмитрия Ульянова, д. 31; тел.: +7 (495) 967-94-42.

Bodanskaya Antonina Lvovna – Phlebologist, Lympologist.

117447, Moscow, Dmitry Ulyanov St., 31; tel.: +7 (495) 967-94-42.

Первый флебологический центрРоссияFirst Phlebological CenterRussian FederationПервый флебологический центр; Российский национальный исследовательский медицинский университет имени Н.И. Пирогова Министерства здравоохранения Российской ФедерацииРоссияFirst Phlebological Center; Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian FederationRussian Federation20191104201901-21418Copyright © Дженина О.В., Богачев В.Ю., Боданская А.Л., 20192019Дженина О.В., Богачев В.Ю., Боданская А.Л.Dzhenina O.V., Bogachev V.Y., Bodanskaya А.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.a-surgeon.ru/jour/article/view/130

Беременность является важным специфическим фактором риска развития хронических заболеваний вен у женщин. Помимо поверхностных вен нижних конечностей трансформация часто затрагивает вены малого таза. Тактика ведения  беременных с расширением вен промежности и гениталий в настоящее время является одной из актуальных проблем на стыке флебологии и акушерства-гинекологии. В статье рассмотрены возможные варианты консервативного  лечения женщин с вульварным и промежностным варикозом на фоне беременности, в т. ч. обсуждены возможность и целесообразность использования системной фармакотерапии  веноактивными  препаратами.

Pregnancy is an important specific risk factor for the development of chronic vein diseases  in women. In addition  to the superficial veins of the lower limbs, transformation often affects the pelvic veins. The management of pregnant women with vulvar and perineal varicose veins is one of the urgent  problems of nowadays at the intersection of phlebology  and obstetrics-gynecology. The article discusses possible options for conservative treatment of women with vulvar and perineal varicose veins during pregnancy, including the possibility  and feasibility of using systemic venoactive drugs.

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The authors declare that there are no conflicts of interest present.