{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:01:06Z","timestamp":1784818866494,"version":"3.55.0"},"reference-count":34,"publisher":"Akademiai Kiado Zrt.","issue":"18","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,5,5]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Az als\u00f3 v\u00e9gtagi varicositas spont\u00e1n ruptur\u00e1j\u00e1b\u00f3l\n                    sz\u00e1rmaz\u00f3 v\u00e9rz\u00e9s az alapbetegs\u00e9g ritka, riaszt\u00f3, esetenk\u00e9nt hal\u00e1los sz\u00f6v\u0151dm\u00e9nye.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Az als\u00f3 v\u00e9gtagi varicositasb\u00f3l sz\u00e1rmaz\u00f3 spont\u00e1n\n                    v\u00e9rz\u00e9s el\u0151fordul\u00e1si gyakoris\u00e1g\u00e1nak, a v\u00e9rz\u00e9sforr\u00e1s mibenl\u00e9t\u00e9nek \u00e9s\n                    elhelyezked\u00e9s\u00e9nek, valamint az ell\u00e1t\u00e1s r\u00e9szletk\u00e9rd\u00e9seinek vizsg\u00e1lata.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Betegeinkn\u00e9l fizik\u00e1lis \u00e9s ultrahangvizsg\u00e1latot\n                    alkalmaztunk a v\u00e9rz\u00e9s h\u00e1tter\u00e9ben fenn\u00e1ll\u00f3 k\u00f3ros \u00e1llapotok meghat\u00e1roz\u00e1s\u00e1ra. A\n                    leletek \u00f6sszes\u00edt\u00e9s\u00e9hez \u00e9s feldolgoz\u00e1s\u00e1hoz a Microsoft Office szoftvert\n                    alkalmaztuk. Tanulm\u00e1nyunk egyetlen centrum eredm\u00e9nyeinek retrospekt\u00edv\n                    feldolgoz\u00e1s\u00e1t tartalmazza.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    Saj\u00e1t, 25\u00a0000 betegre\n                    vonatkoz\u00f3 anyagunkban spont\u00e1n varixruptura 0,26%-ban fordult el\u0151. Ezt az orsz\u00e1g\n                    feln\u0151tt n\u00e9pess\u00e9g\u00e9re kivet\u00edtve: \u00e9vente \u00e1tlag 659,7 esettel kell sz\u00e1molni. Ink\u00e1bb\n                    a k\u00f6z\u00e9pkor\u00faakat \u00e9s az id\u0151seket \u00e9rinti (\u00e1tlag: 56,8 \u00b1 15,3 \u00e9v), t\u00f6bb f\u00e9rfit\n                    (59,5%), mint n\u0151t. Gyakrabban a boka-l\u00e1bfej t\u00e1jon fordul el\u0151 (60,5%). Meglep\u0151en\n                    a kisebb m\u00e9ret\u0171, kb. 1 mm \u00e1tm\u00e9r\u0151j\u0171, v\u00e9kony fal\u00fa ereket \u00e9rinti, nem a\n                    vastagabbakat. A h\u00e1tt\u00e9rben mindig varicositas, illetve kr\u00f3nikus v\u00e9n\u00e1s\n                    el\u00e9gtelens\u00e9g \u00e1ll. Azonnali ell\u00e1t\u00e1sra ink\u00e1bb a nyom\u00f3k\u00f6t\u00e9s javasolt. A definit\u00edv\n                    ell\u00e1t\u00e1s sclerotherapi\u00e1val t\u00f6rt\u00e9nik, a kor\u00e1bban alkalmazott al\u00e1\u00f6lt\u00e9s helyett. Az\n                    \u00f6lt\u00e9s hely\u00e9n ugyanis gyakran fek\u00e9ly alakul ki. V\u00e9gleges megold\u00e1sra \u00e9s\n                    prevenci\u00f3ra radik\u00e1lis varicectomia javasolt.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A\n                    kor\u00e1bban csak eszt\u00e9tikai elt\u00e9r\u00e9snek tekintett, kb. 1 mm \u00e1tm\u00e9r\u0151j\u0171, als\u00f3 v\u00e9gtagi\n                    v\u00e9n\u00e1k jelent\u0151s, olykor hal\u00e1los v\u00e9rz\u00e9st okoznak. Ez a sz\u00f6v\u0151dm\u00e9ny, b\u00e1r ritk\u00e1n\n                    fordul el\u0151, de a v\u00e9n\u00e1s betegs\u00e9gek gyakoris\u00e1ga alapj\u00e1n ell\u00e1t\u00e1s\u00e1ra a s\u00fcrg\u0151ss\u00e9gi\n                    ell\u00e1t\u00e1sban r\u00e9szt vev\u0151knek fel kell k\u00e9sz\u00fclni\u00fck. A v\u00e9n\u00e1s betegs\u00e9ggel foglalkoz\u00f3k\n                    r\u00e9sz\u00e9re \u2013 ak\u00e1r megel\u0151z\u00e9si, ak\u00e1r v\u00e9gleges kezel\u00e9si c\u00e9llal \u2013 endov\u00e9n\u00e1s vagy\n                    hagyom\u00e1nyos seb\u00e9szi beavatkoz\u00e1s javasolt. Orv Hetil. 2024; 165(18): 711\u2013716.\n                  <\/jats:p>","DOI":"10.1556\/650.2024.33035","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T04:48:38Z","timestamp":1714970918000},"page":"711-716","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Az als\u00f3 v\u00e9gtagi varicositas spont\u00e1n ruptur\u00e1ja"],"prefix":"10.1556","volume":"165","author":[{"given":"Imre","family":"Bihari","sequence":"first","affiliation":[{"name":"\u00c1+B Klinika Budapest, N\u00e9psz\u00ednh\u00e1z u. 46., 1081 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Bihari","sequence":"additional","affiliation":[{"name":"\u00c1+B Klinika Budapest, N\u00e9psz\u00ednh\u00e1z u. 46., 1081 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Bihari","sequence":"additional","affiliation":[{"name":"\u00c1+B Klinika Budapest, N\u00e9psz\u00ednh\u00e1z u. 46., 1081 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Labas P, Cambal M. 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Hemorrhage of varicose\n                    veins: an indication for sclerotherapy. Dermatol Surg. 2024; 50:\n                    311\u2013312.","DOI":"10.1097\/DSS.0000000000004051"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Hamahata A, Yamaki T, Osada A, et al. Foam sclerotherapy for\n                    spouting haemorrhage in patients with varicose veins. Eur J Vasc Endovasc Surg.\n                    2011; 41: 856\u2013858.","DOI":"10.1016\/j.ejvs.2011.02.026"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Cardella J, Aurshina A, Sumpio B, et al. Vein ablation is an\n                    effective treatment for patients with bleeding varicose veins. J Vasc Surg\n                    Venous Lymphat Disord. 2022;10: 1007\u20131011.","DOI":"10.1016\/j.jvsv.2022.03.015"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Bihari I, Tornoci L, Bihari P. Epidemiological study on varicose\n                    veins in Budapest. 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