CONSERVATIVE THERAPY OF PATIENTS WITH SUPERFICIAL THROMBOFLEBITIS

Abstract

Superficial vein thrombophlebitis (STP) is a common inflammatory-thrombotic process that may occur spontaneously, after a trauma or as a complication after medical or surgical interventions (1, 2, 6). In most of the cases it is a sterile inflammation of the vein wall and the surrounding tissue, accompanied by intravenous thrombosis. In the rare cases of infectious superficial thrombophlebitis, the infection is introduced inside the veins, mostly after venous manipulations, by insects, traumatism or furunculosis.The frequency of the disease is higher at women, probably because of pregnancy and the high rate of varicosis. The superficial thromboflebitis affects all the ages (from 18 to 87), but is most frequent between 50 and 60 years for men and women.In a nine years period, since 01.01.2009 to 31.12.2017, 495 patients were treated by STP in Military medical Academy. They were divided in two groups. 108 (22%) patients from the first group, were admitted for surgery. The other group of 387 patients underwent conservative therapy.The goals of therapy for superficial thrombophlebitis are to prevent progression into the deep venous system and to hasten the resolution of the inflammatory and thrombotic processes in areas already involved.The nonsteroidal antiinflammatory and venotonical drugs, low molecular weight heparin and nonsteroidal creams for local aplication are the first options. In the rear cases of infectious thromboflebitis, the antibiotics are applied. When the thromboplebitis of the saphenous veins reaches the saphenofemoral (SFJ) or saphenopopliteal (SPJ) junction, or cloth reaches the iliac veins, the surgical treatment is suggested.