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Флеболог в больнице семашко

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17 августа 2019

Статистика заболеваемостью варикозом мало чем отличается у людей, живущих как в разных странах, так и в регионах России . Что касается нашей области, то варикозной болезнью страдает треть нижегородцев. Если разделить их по гендерному признаку, то это заболевание обнаруживается у 30% женщин и 10% мужчин. Это подтверждают и в Нижегородской областной клинической больнице им. Семашко . Радует хотя бы то, что наших земляков не коснулась тенденция к «омоложению» варикоза. Ведь, по данным некоторых специалистов, если раньше его диагностировали у людей старшего возраста, то теперь все чаще – у 25-30-летних. Но, по наблюдениям и опыту заведующего 2-м хирургическим отделением хирургической клиники НОКБ им.Семашко Бориса Королева, «это все же болезнь пожилых».

Что может спровоцировать развитие варикоза? Наследственность, лишний вес, нарушение гормонального статуса, особенности образа жизни (например, работа, подразумевающая длительное стояние на ногах), а также беременность. Но болезнь можно предотвратить, если вовремя обратиться к флебологу. На начальной стадии лечение варикозного расширения вен проводится без операции и позволяет полностью вернуть красоту и первоначальное здоровье ног. Если же просто игнорировать первые проявления варикоза – венозная недостаточность может привести к развитию трофической язвы, дерматитов, тромбофлебита. Но самое коварное, что при отсутствии лечения варикоз может привести к отрыву тромба и летальному исходу.

Своевременная консультация флеболога позволит применить эффективные и безболезненные безоперационные методы. Что могут предложить нижегородские больницы и клиники?

Где вылечат ваш варикоз?

Клиника «Тонус премиум», Центр лучевой диагностики и эндоскопической хирургии

Адрес: ул.Б.Покровская, 62. Тел.: 411-13-13. Запись – по телефону или на сайте.

Платные услуги: первичная консультация флеболога – 1100 руб., повторная – 900, компрессионная склеротерапия 5 кв.см – 4000.

Полный цикл современной флебологической помощи: консультативный осмотр, тщательная ультразвуковая диагностика, выработка индивидуальной тактики лечения согласно полученным результатам обследования и состояния пациента, предоперационная подготовка, операция, своевременная коррекция лечения и др . Лазерное лечение, в частности, включает в себя малоинвазивные операции в сочетании со склеротерапией.

Принимаются полисы: ДМС.

Клиника «Центр Флебологии»

Адрес: ул. Пискунова , 21/2. Тел.: 280-95-25. Запись – по телефону или на сайте.

Платные услуги: консультация флеболога – 700 руб., консультация флеболога по ХВН (хронической венозной недостаточности) – 1000, ультразвуковое (дуплексное) сканирование вен нижних конечностей – 1700, ультразвуковое (дуплексное) сканирование и консультация флеболога – 2000, ультразвуковое (допплерографическое) обследование – 1000.

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Ультразвуковое обследование проводится на первичной консультации. Прием ведут два доктора — флеболог и специалист по ультразвуковой диагностике. С помощью современного оборудования пациенту проводится полный скрининг глубоких и поверхностных вен. Первичные консультации проводятся только при наличии УЗИ , проведенного в этот же день.

Принимаются полисы: ДМС (не всех страховых компаний).

Нижегородский областной «Клинический диагностический центр»

Адрес: ул.Решетниковская, 2. Тел.: 421-09-79(80), 421-02-04, 421-29-10. Принимаются полисы: ОМС. Прием хирурга-флеболога при наличии направления и талона из районной поликлиники. Операции для жителей города и области — бесплатно.

Платные услуги: проведение комплексной диагностики с УЗИ вен — 1350 руб.

ГБУЗ «Больница № 13», отделение сосудистой хирургии

Адрес: ул.Патриотов, 51. Тел. регистратуры поликлиники: 256-56-60, 294-33-13, 256-21-22.

Принимаются полисы: ОМС. Запись на прием – в регистратуре.

Платные услуги: консультация флеболога – 720 руб., склеротерапия – 4600.

Нижегородская областная больница им.Семашко, хирургическое отделение

Адрес: ул. Родионова , 190. Тел. 436-40-01, 435-79-91.

Приема флеболога по полисам ОМС нет.

Платные услуги: консультация флеболога – 700 руб., склеротерапия – (1 сеанс) 2000.

МЛПУ «Городская клиническая больница № 40», 2-е хирургическое отделение

Адрес: ул.Героя Смирнова , 71. Тел.:256-03-55 (регистратура), 293-94-24 (хирургическое отделение).

Принимаются полисы: ОМС. Консультация флеболога – бесплатная. При себе иметь паспорт, направление от участкового терапевта или хирурга, результаты исследований (если есть).

Платные услуги: расценки можно уточнить по телефону хирургического отделения.

В отделении, в частности, проводятся операции при клапанной недостаточности и посттромботической болезни. Применяются такие методы, как минифлебэктомия, склеротерапия, а также удаление вены и перевязывание повреждённой вены.

Дорожная клиническая больница на станции Нижний Новгород ОАО «РЖД»

(частное учреждение здравоохранения)

Адрес: пр. Ленина , 18. Тел.: 2-284-284.

Платные услуги: первичная консультация флеболога – 950 руб., повторная – 750. Склеротерапия: одна процедура одной зоны – 5000 руб.

Клиника «Алтея»

Адрес: ул. Долгополова , 17. Тел.: 246-64-04, 277-99-05.

Платные услуги: проведение радикальной венэктомии в системе подкожных вен (на одной ноге): большой и малой вен — 13853 руб.; большой вены — 8313 руб.; малой вены — 6235 руб.

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Клиника «Академия VIP»

Адрес: ул.Студеная, 57. Тел.: 270-00-00, 239-77-77.

Платные услуги: первичная консультация флеболога с составлением комплексного плана лечения – 1500-2000 руб. Консультация по скайпу – 1500.

Принимаются полисы: ДМС.

Сеть клиник «Александрия»

Адреса: ул. М.Покровская, 2а, ул.Ошарская, 65/1. Тел.: 216-22-20, 280-99-01.

Первичная консультация флеболога, д.м.н. – 1210 руб., склеротерапия – 3960. Принимаются полисы: ДМС.

Клиника «Садко»

Адрес: ул. Бекетова , 13. Тел.: 412-07-77.

Платные услуги: первичная консультация флеболога – 1250 руб., повторная – 940.

Принимаются полисы: ДМС.

Сеть клиник «Персона»

Адреса: ул.Б.Печерская, 26, ул.Алексеевская, 26. Тел.: 416-20-80.

Платные услуги: первичная консультация флеболога – 800 руб., повторная – 700.

Принимаются полисы: ДМС.

Сеть клиник «Академия здоровья»

Адреса: Казанское шоссе, 12, пр. Ленина, 54. Тел.: 220-20-20, 233-33-03.

Платные услуги: первичная консультация флеболога, к.м.н. – 1000 руб., повторная – 800, УЗИ — 800.

Принимаются полисы: ОМС (услуга УЗИ не входит в стоимость страхового покрытия).

Ведущие прием в поликлинике

Все наши специалисты имеют действующие сертификаты и проходят обучение в соответствии с нормами законодательства.

Арсен Валерьевич является членом Ассоциации флебологов России, Ассоциации сердечно-сосудистых хирургов РФ, Российского общества ангиологов и сосудистых хирургов. Неоднократно проходил повышение квалификации по сердечно-сосудистой хирургии и по рентгенэндоваскулярной диагностике и лечению. Ведет консультативно-диагностический прием пациентов:

  • с заболеваниями сердечно-сосудистой системы
  • с патологией вен (варикоз, тромбофлебит, флебит)
  • с патологией артерий (ангиопатии атеросклеротические и воспалительные поражения сосудов)
  • ведет работу по профилактике инфарктов и инсультов путем раннего выявления нарушения кровотока по магистральным сосудам

Образование

  • Окончил в 2000 году Первый Московский Государственный Медицинский Университет им. И.М. Сеченова, затем там же в 2002 году клиническую ординатуру по специальности «Сердечно-сосудистая хирургия».
  • С 2012 года доцент кафедры ФГБНУ "РНЦХ им. Академика Б.В. Петровского" , опрерирующий хирург.

Опыт работы

С 2002 г. преподает, является доцентом кафедры в Первом Московском Государственном Медицинском Университете им. И.М. Сеченова. Работает в поликлинике № 2 им. Семашко с 2006 года.

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В отделении сосудистой хирургии проводится лечение пациентов с кардиологическими паталогиями и с заболеваниями периферически сосудов.

Кардиохирургическая составляющая работы отделения представлена службой аритмологии. В отделении проводится лечение нарушения ритма сердца:

  • иплантация ЭКС;
  • замена ЭКС;
  • рентнгенэлектротехнический контроль рабты ЭКС;
  • тестирование и програмирование работы ЭКС в различных режимах;

К лечению пациентов с заболеваниями периферически сосудов относятся:

  • варикозная болезнь вен нижних конечностей
  • тромбоз глубоких и подкожных вен
  • посттромбофлебитическая болезнь
  • трофические нарушения кожи
  • врожденные патологии сосудов
  • атеросклероз артерий нижних конечностей
  • облитерирующий эндартериит, болезнь Рейно
  • атеросклероз сонных артерий
  • аневризма брюшной арты и перефирических артерий
  • лимфодема

Отделение обладает многолетним опытом ведения пациентов с венозной недостаточностью: от варикозной болезни и острого флеботромбоза до хронических патологий вен с трофическими нарушениями. В отделении проводятся хирургические вмешательства, направленные на устранение варикозных вен. В отделении успешно проводится эндовенозная лазерная аблация подкожных вен, транскутанные манипуляции.

Мы применяем современное оборудование для получения наилучшего результата лечения больных с варикозной болзенью вен. Эндовенозная лазерная аблация позволяет достичь хорошего хирургического и косметического эффекта в более короткие сроки с ранним восстановлением трудоспособности пациента.

При работе с пациентами, страдающими тромбозом вен, используется комплексный подход. Мы стараемся не только своевременно выявить это жизнеугрожающее состояние, но и найти его причину.

В отделение проводятся следующие операции:

  • эндовенозная лазерная аблация вен (ЭВЛА)
  • комбинированная флебэктомия
  • склеротерапия
  • открытая каротидная эндартерэктомия
  • подключично-сонное шунтирование
  • профундопластика
  • аорто-бедренное, бедренно-подколенное шунтирования
  • ангиография
  • эндоваскулярная ангиопластика и стентирование переферических артерий
  • имплантация стенд-графта в брюшную аорту
  • тромбэктомия из переферических артерий
  • поясничная симпатэктомия
  • гибридные операции
  • формирование артерио-венозной фистулы

Широкое внедрение эндоваскулярных технологий позволяет в кратчайшие сроки определить степень и локализацию поражения артерий. Применение передовых технологий позволяет качественно оказывать помощь пациентами на разных стадиях развития атеросклероза: от самых начальных (когда пациенту требуется предотвратить развитие атеросклероза) до состояний, угрожающих конечности. Отделение располагает опытом проведения реабилитации и послеоперационного ведения пациентов различной степени тяжести.

Коечный фонд отделения представлен одно — двух — трех — и четырех — местные палаты. Персонал отделения – квалифицированные сестры с многолетним стажем работы в отделении сосудистой хирургии и отделении кардиохирургии.

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