{"id":667,"date":"2025-05-06T18:30:58","date_gmt":"2025-05-06T15:30:58","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/varices-des-membres-inferieurs\/"},"modified":"2025-11-06T15:45:13","modified_gmt":"2025-11-06T12:45:13","slug":"varices-des-membres-inferieurs","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/systeme-vasculaire\/varices-des-membres-inferieurs\/","title":{"rendered":"Varices des membres inf\u00e9rieurs : \u00e9tiologie, pathogen\u00e8se, classification, diagnostic et m\u00e9thodes de traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>Les varices des membres inf\u00e9rieurs sont une maladie caract\u00e9ris\u00e9e par un amincissement de la paroi veineuse et une dilatation in\u00e9gale des veines.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/1-Varicoz_20_1%2B2.webp\" alt=\"Veines saph\u00e8nes tortueuses dilat\u00e9es (grande et petite veines saph\u00e8nes)\"><figcaption class=\"wp-element-caption\">Veines saph\u00e8nes tortueuses dilat\u00e9es (grande et petite veines saph\u00e8nes) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/6e2f9dc5-6e91-46c4-b881-b038f53acd05\/e97d61b0-0428-49d0-af67-db0672973910\/89d68c09-23e0-4c61-ba63-653badba506a\/c312e176-42d8-4fb1-bc70-045e779fffee\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"epidemiologie\">\u00c9pid\u00e9miologie  <\/h2>\n<p>Les varices des membres inf\u00e9rieurs figurent parmi les maladies chroniques les plus fr\u00e9quentes du syst\u00e8me vasculaire. Selon les \u00e9tudes \u00e9pid\u00e9miologiques : <\/p>\n<ul class=\"wp-block-list\">\n<li>La pr\u00e9valence de la maladie atteint 20 \u00e0 30 % chez les adultes.<\/li>\n<li>Les femmes souffrent 2 \u00e0 3 fois plus souvent que les hommes, ce qui est associ\u00e9 \u00e0 l\u2019influence des hormones et \u00e0 la grossesse.<\/li>\n<li>L\u2019incidence de la maladie augmente avec l\u2019\u00e2ge : parmi les personnes de plus de 60 ans, les signes de varices sont d\u00e9tect\u00e9s chez plus de 50 % des femmes et 30 % des hommes.<\/li>\n<li>Les diff\u00e9rences ethniques sont minimes, mais il existe des donn\u00e9es indiquant une fr\u00e9quence l\u00e9g\u00e8rement inf\u00e9rieure de varices chez les membres de la population afro-carib\u00e9enne par rapport \u00e0 la population europ\u00e9enne.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"etiologie\">\u00c9tiologie<\/h2>\n<p>Le d\u00e9veloppement des varices est d\u00fb \u00e0 un ensemble de facteurs, dont les causes principales sont les suivantes :<\/p>\n<ul class=\"wp-block-list\">\n<li>H\u00e9r\u00e9dit\u00e9 : les mutations affectant la structure de la paroi veineuse et des valves ;<\/li>\n<li>Sexe f\u00e9minin et changements hormonaux : la progest\u00e9rone r\u00e9duit le tonus de la paroi veineuse ;<\/li>\n<li>Grossesse : une \u00e9l\u00e9vation de la pression intra-abdominale et des influences hormonales ;<\/li>\n<li>Profession impliquant une station debout prolong\u00e9e : le retour veineux est perturb\u00e9 ;<\/li>\n<li>Le mode de vie s\u00e9dentaire et l\u2019ob\u00e9sit\u00e9 contribuent aux ph\u00e9nom\u00e8nes congestifs ;<\/li>\n<li>Les blessures et la thrombose veineuse profonde ant\u00e9c\u00e9dante perturbent la fonction des valves.<\/li>\n<\/ul>\n<figure class=\"wp-block-video\" id=\"animation-3d-varices-de-la-grande-veine-saphene\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/varicose-dilation-of-great-saphenous-vein.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D \u2013 varices de la grande veine saph\u00e8ne<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"pathogenie\">Pathog\u00e9nie<\/h2>\n<p>La pathogen\u00e8se repose sur l\u2019hypertension veineuse caus\u00e9e par une insuffisance des valves veineuses et une perte d\u2019\u00e9lasticit\u00e9 de la paroi veineuse.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Insuffisance valvulaire primaire<\/strong> : <\/li>\n<\/ul>\n<p>Insuffisance de fermeture des valvules veineuses \u2192 flux sanguin r\u00e9trograde (reflux).<\/p>\n<p>Le reflux augmente la charge sur la paroi veineuse, provoquant sa dilatation, en particulier dans le syst\u00e8me veineux superficiel (veine grande saph\u00e8ne, veine petite saph\u00e8ne).<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Destruction de la paroi veineuse<\/strong> :<\/li>\n<\/ul>\n<p>Perte de collag\u00e8ne et d\u2019\u00e9lastine dans la tunique moyenne \u2192 diminution du tonus \u2192 transformation variqueuse.<\/p>\n<p>Activation des m\u00e9talloprot\u00e9inases, des cytokines inflammatoires (IL-6, TNF-\u03b1) \u2192 remodelage vasculaire.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Alt\u00e9ration de la microcirculation<\/strong> :<\/li>\n<\/ul>\n<p>L\u2019hypertension veineuse entra\u00eene une stase capillaire, une hypoxie, une sortie de plasma sanguin et d\u2019\u00e9rythrocytes \u00e0 travers les cellules endoth\u00e9liales. Cela provoque des <span class=\"glossary-term\" data-title=\"\u0152d\u00e8me\" data-tooltip=\"L&#039;\u0153d\u00e8me est une accumulation excessive de liquide dans les espaces intercellulaires (interstitiels) des tissus ou dans les cavit\u00e9s s\u00e9reuses du corps. Cliniquement, il se manifeste par un gonflement, une augmentation de volume d&#039;un organe ou d&#039;une partie du corps. \" data-link=\"https:\/\/wiki.dev.voka.io\/fr\/glossaire\/oedeme\/\">\u0153d\u00e8mes<\/span>, des changements trophiques de la peau et, si le processus \u00e9volue, des ulc\u00e8res variqueux se forment, en particulier dans la r\u00e9gion de la mall\u00e9ole m\u00e9diale, o\u00f9 la r\u00e9sistance hydrostatique est la plus faible. <\/p>\n<figure class=\"wp-block-video\" id=\"animation-3d-developpement-de-la-varicosite-de-la-petite-veine-saphene\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/development-of-varicose-dilation-of-small-saphenous-vein.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D \u2013 d\u00e9veloppement de la varicosit\u00e9 de la petite veine saph\u00e8ne<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"classification\">Classification<\/h2>\n<p>Pour \u00e9valuer le stade et la gravit\u00e9 des varices des membres inf\u00e9rieurs, le syst\u00e8me international <strong>CEAP <\/strong>est utilis\u00e9. Ce syst\u00e8me prend en compte quatre aspects : C \u2014 manifestation clinique, E \u2014 \u00e9tiologie, A \u2014 localisation anatomique, P \u2014 m\u00e9canisme physiopathologique.<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>C : Description<\/strong>\n<ul class=\"wp-block-list\">\n<li>C0 : Absence de signes cliniques visibles ou palpables d\u2019insuffisance veineuse<\/li>\n<li>C1 : T\u00e9langiectasies ou veines r\u00e9ticulaires<\/li>\n<li>C2 : Varices (> 3 mm de diam\u00e8tre)<\/li>\n<li>C3 : \u0152d\u00e8mes (sans changements cutan\u00e9s)<\/li>\n<li>C4a : Pigmentation ou plaques ecz\u00e9mateuses<\/li>\n<li>C4b : Lipodermatoscl\u00e9rose ou atrophie blanche<\/li>\n<li>C5 : Ulc\u00e8re veineux gu\u00e9ri<\/li>\n<li>C6 : Ulc\u00e8re veineux actif<\/li>\n<\/ul>\n<\/li>\n<li><strong>E : Valeur<\/strong>\n<ul class=\"wp-block-list\">\n<li>Ec : Cong\u00e9nitale<\/li>\n<li>Ep : Primitive<\/li>\n<li>Es : Secondaire<\/li>\n<li>En : Pas d\u2019\u00e9tiologie retrouv\u00e9e<\/li>\n<\/ul>\n<\/li>\n<li><strong>A : Zone touch\u00e9e<\/strong>\n<ul class=\"wp-block-list\">\n<li>As : Veines superficielles<\/li>\n<li>Ap : Veines perforantes<\/li>\n<li>Ad : Veines profondes<\/li>\n<li>An : Pas de m\u00e9canisme physiopathologique identifi\u00e9<\/li>\n<\/ul>\n<\/li>\n<li><strong>P : M\u00e9canisme<\/strong>\n<ul class=\"wp-block-list\">\n<li>Pr : Reflux (reflux sanguin)<\/li>\n<li>Po : Obstruction (par exemple, thrombose)<\/li>\n<li>Pro : Reflux + obstruction<\/li>\n<li>Pn : Pas de m\u00e9canisme physiopathologique identifi\u00e9<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/2-Varic_20_1%2B2.webp\" alt=\"Varices de la veine grande saph\u00e8ne\"><figcaption class=\"wp-element-caption\">Varices de la veine grande saph\u00e8ne \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/6e2f9dc5-6e91-46c4-b881-b038f53acd05\/e97d61b0-0428-49d0-af67-db0672973910\/89d68c09-23e0-4c61-ba63-653badba506a\/c312e176-42d8-4fb1-bc70-045e779fffee\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Vascular%20Pathology\/Varicose%20veins%20of%20the%20lower%20extremities\/3-Varicoz_20_1%2B2_noSkin.webp\" alt=\"Varices de la veine petite saph\u00e8ne\"><figcaption class=\"wp-element-caption\">Varices de la veine petite saph\u00e8ne \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/6e2f9dc5-6e91-46c4-b881-b038f53acd05\/e97d61b0-0428-49d0-af67-db0672973910\/89d68c09-23e0-4c61-ba63-653badba506a\/4bb9c078-6da0-411f-b02d-78f828654e35\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestations-cliniques\">Manifestations cliniques<\/h2>\n<p>Le tableau clinique peut varier de changements esth\u00e9tiques \u00e0 des troubles trophiques prononc\u00e9s :<\/p>\n<ul class=\"wp-block-list\">\n<li>Veines saph\u00e8nes dilat\u00e9es et tortueuses ;<\/li>\n<li>Sensation de lourdeur, de pression ou de br\u00fblure dans les jambes ;<\/li>\n<li>Les douleurs s\u2019intensifient en fin de journ\u00e9e ;<\/li>\n<li>\u0152d\u00e8mes des chevilles et du tibia ;<\/li>\n<li>Convulsions et paresth\u00e9sies la nuit ;<\/li>\n<li>Changements cutan\u00e9s : hyperpigmentation, induration, ecz\u00e9ma ;<\/li>\n<li>Ulc\u00e8res trophiques (le plus souvent au niveau de la mall\u00e9ole m\u00e9diale) ;<\/li>\n<\/ul>\n<p>Les sympt\u00f4mes s\u2019aggravent lors d\u2019une position debout prolong\u00e9e et s\u2019am\u00e9liorent au repos ou lorsque les jambes sont lev\u00e9es.<\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-des-varices\">Diagnostic des varices<\/h2>\n<p><strong>Examen physique <\/strong>: Examen et palpation des veines en position debout.<\/p>\n<p>\u00c9valuation du reflux (man\u0153uvre de Trendelenburg, test de Scheinis).<\/p>\n<p><strong>M\u00e9thodes instrumentales<\/strong>: l\u2019angioscanner \u00e0 ultrasons (\u00e9chographie duplex) est l\u2019\u00e9talon-or du diagnostic.<\/p>\n<ul class=\"wp-block-list\">\n<li>Permet de d\u00e9tecter : reflux, occlusions, diam\u00e8tre de la veine et caract\u00e9ristiques anatomiques.<\/li>\n<li>Crit\u00e8re de reflux pathologique : dur\u00e9e > 0,5 seconde apr\u00e8s la compression.<\/li>\n<\/ul>\n<p><strong>Tests de laboratoire <\/strong>(en cas de complications) :<\/p>\n<ul class=\"wp-block-list\">\n<li>Coagulogramme, en cas de suspicion de thrombose ;<\/li>\n<li>L\u2019h\u00e9moglobine glyqu\u00e9e (ou HbA1c), en cas de suspicion d\u2019angiopathie diab\u00e9tique ;<\/li>\n<li>\u00c9tude du microbiote des ulc\u00e8res dans les infections.<\/li>\n<\/ul>\n<p><strong>La classification CEAP<\/strong> est utilis\u00e9e pour la stratification et la s\u00e9lection des tactiques de traitement.<\/p>\n<h2 class=\"wp-block-heading\" id=\"traitement-des-varices\">Traitement des varices<\/h2>\n<h3 class=\"wp-block-heading\" id=\"1-traitement-conservateur\">1. Traitement conservateur<\/h3>\n<p><strong>Th\u00e9rapie par compression :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Les bas \u00e9lastiques sont de diff\u00e9rents degr\u00e9s de compression et sont s\u00e9lectionn\u00e9s en fonction du stade de la maladie et de la gravit\u00e9 des sympt\u00f4mes. Les bas de contention mal choisis peuvent \u00eatre inefficaces, voire nuisibles. Voil\u00e0 pourquoi le type et la classe de compression doivent \u00eatre prescrits par un m\u00e9decin sur la base de l\u2019examen. <\/li>\n<li>Ils am\u00e9liorent le retour veineux, r\u00e9duisent l\u2019\u0153d\u00e8me et les sympt\u00f4mes subjectifs.<\/li>\n<\/ul>\n<p><strong>M\u00e9dicaments phl\u00e9botropes :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>La diosmine, l\u2019hesp\u00e9ridine et la trox\u00e9rutine r\u00e9duisent la perm\u00e9abilit\u00e9 capillaire et am\u00e9liorent la microcirculation.<\/li>\n<li>Elles sont utilis\u00e9es comme rem\u00e8de symptomatique, mais n\u2019\u00e9liminent pas la cause.<\/li>\n<\/ul>\n<p><strong>Mode de vie :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Contr\u00f4le du poids corporel ;<\/li>\n<li>Activit\u00e9 physique mod\u00e9r\u00e9e ;<\/li>\n<li>\u00c9viter les stations debout et assises prolong\u00e9es.<\/li>\n<\/ul>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h3 class=\"wp-block-heading\" id=\"2-traitement-chirurgical-et-invasif\">2. Traitement chirurgical et invasif<\/h3>\n<p><strong>ses indications sont les suivantes :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Varices symptomatiques avec reflux confirm\u00e9 ;<\/li>\n<li>CEAP C2\u2013C6 ;<\/li>\n<li>Inefficacit\u00e9 du traitement conservateur.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-1-\u044d\u043d\u0434\u043e\u0432\u0435\u043d\u043e\u0437\u043d\u0430\u044f-\u043b\u0430\u0437\u0435\u0440\u043d\u0430\u044f-\u043a\u043e\u0430\u0433\u0443\u043b\u044f\u0446\u0438\u044f-\u044d\u0432\u043b\u043a\">2.1. <strong>Ablation endoveineuse au laser (EVLA)<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>La m\u00e9thode la plus courante ;<\/li>\n<li>Proc\u00e9dure mini-invasive ;<\/li>\n<li>L\u2019\u00e9nergie laser provoque une n\u00e9crose de coagulation et une scl\u00e9rose de la paroi veineuse ;<\/li>\n<li>Effectu\u00e9e sous contr\u00f4le \u00e9choscopique et anesth\u00e9sie tumescente.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-2-\u0440\u0430\u0434\u0438\u043e\u0447\u0430\u0441\u0442\u043e\u0442\u043d\u0430\u044f-\u0430\u0431\u043b\u044f\u0446\u0438\u044f-\u0440\u0447\u0430\">2.2. <strong>Ablation par radiofr\u00e9quence (ARF)<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>Alternative \u00e0 EVLA ;<\/li>\n<li>Le principe est similaire, mais l\u2019\u00e9nergie RF est utilis\u00e9e ;<\/li>\n<li>Elle est souvent mieux tol\u00e9r\u00e9e mais co\u00fbte plus cher.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-3-\u0441\u043a\u043b\u0435\u0440\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u044f\">2.3. <strong>Scl\u00e9roth\u00e9rapie<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>Injection de l\u2019agent scl\u00e9rosant (mousse ou liquide) \u2192 collage de la veine ;<\/li>\n<li>Utilis\u00e9e pour les veines r\u00e9ticulaires et les t\u00e9langiectasies.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-4-\u043c\u0438\u043d\u0438\u0444\u043b\u0435\u0431\u044d\u043a\u0442\u043e\u043c\u0438\u044f-\u043f\u043e-\u043c\u044e\u043b\u043b\u0435\u0440\u0443\">2.4. <strong>Phl\u00e9bectomie selon M\u00fcller<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>\u00c9limination des varices par micro-incisions.<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\" id=\"h-2-5-\u043a\u0440\u043e\u0441\u0441\u044d\u043a\u0442\u043e\u043c\u0438\u044f-\u0438-\u0441\u0442\u0440\u0438\u043f\u043f\u0438\u043d\u0433-\u0442\u0440\u0430\u0434\u0438\u0446\u0438\u043e\u043d\u043d\u044b\u0435-\u043c\u0435\u0442\u043e\u0434\u044b\">2.5. <strong>Crossectomie et stripping (m\u00e9thodes conservatrices)<\/strong><\/h4>\n<ul class=\"wp-block-list\">\n<li>R\u00e9section du tronc de la veine grande saph\u00e8ne ;<\/li>\n<li>Elles sont utilis\u00e9es moins souvent, en cas de contre-indications aux m\u00e9thodes endo-veineuses.<\/li>\n<\/ul>\n<p><strong>Contre-indications :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Thrombose aigu\u00eb ;<\/li>\n<li>Maladies chroniques d\u00e9compens\u00e9es ;<\/li>\n<li>Grossesse (contre-indication relative) ;<\/li>\n<li>Infections cutan\u00e9es actives dans la zone d\u2019intervention.<\/li>\n<\/ul>\n<p>Un traitement pr\u00e9coce et adapt\u00e9 favorise un bon <strong>pronostic<\/strong>. Les m\u00e9thodes endoveineuses modernes permettent d\u2019obtenir une r\u00e9mission dans 90 \u00e0 95 % des cas. Une r\u00e9cidive est possible si la technique est compromise ou si la maladie \u00e9volue.  <\/p>\n<p><strong>Complications possibles<\/strong> :<\/p>\n<ul class=\"wp-block-list\">\n<li>Thrombophl\u00e9bite ;<\/li>\n<li>Thrombose des veines profondes ;<\/li>\n<li>Pigmentation et hyperk\u00e9ratose ;<\/li>\n<li>Changements cutan\u00e9s ulc\u00e9ro-n\u00e9crotiques ;<\/li>\n<li>Saignement de la veine variqueuse.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Est-il possible de gu\u00e9rir les varices sans chirurgie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Il est impossible d\u2019\u00e9liminer compl\u00e8tement les veines dilat\u00e9es sans intervention chirurgicale, mais un traitement conservateur (bas de compression, veinotoniques) peut soulager les sympt\u00f4mes et ralentir la progression de la maladie.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quels bas de compression sont les meilleurs et peut-on les acheter sans consulter un m\u00e9decin ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les bas sont choisis en fonction de la classe de compression, du stade de la maladie et des caract\u00e9ristiques anatomiques. Le choix sans consultation m\u00e9dicale peut s\u2019av\u00e9rer inefficace, voire nuisible. Il est donc pr\u00e9f\u00e9rable que la prescription soit faite par un m\u00e9decin. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quels sont les risques des varices sans traitement ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sans traitement, la maladie peut progresser et entra\u00eener des complications suivantes : thrombophl\u00e9bite, \u0153d\u00e8me, hyperpigmentation, ulc\u00e8res trophiques et m\u00eame thrombose veineuse profonde.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Quelle est la technique de chirurgie la plus s\u00fbre et la plus efficace ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">L\u2019ablation endoveineuse au laser (EVLA) et l\u2019ablation par radiofr\u00e9quence (ARF) sont consid\u00e9r\u00e9es comme les m\u00e9thodes les plus s\u00fbres et les plus efficaces. Elles sont en effet peu traumatiques, ambulatoires et permettent une r\u00e9cup\u00e9ration rapide.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Peut-on faire du sport si l\u2019on souffre de varices ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, mais il est pr\u00e9f\u00e9rable de pratiquer des exercices d\u2019intensit\u00e9 mod\u00e9r\u00e9e tels que la marche, la natation ou le v\u00e9lo d\u2019exercice. En revanche, il faut \u00e9viter les exercices statiques lourds et les soulev\u00e9s de poids. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Les varices peuvent-elles revenir apr\u00e8s la chirurgie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La r\u00e9cidive est possible, surtout s\u2019il existe une pr\u00e9disposition g\u00e9n\u00e9tique ou si les recommandations post-op\u00e9ratoires ne sont pas respect\u00e9es. Heureusement, les m\u00e9thodes modernes permettent d\u2019obtenir un r\u00e9sultat durable lorsqu\u2019elles sont mises en \u0153uvre correctement.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Si les varices ne causent pas de douleur et ne pr\u00e9sentent que des veines araign\u00e9es, doivent-elles \u00eatre trait\u00e9es ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les t\u00e9langiectasies et les veines r\u00e9ticulaires sont des signes du stade pr\u00e9coce de la maladie. M\u00eame si leur traitement a pour seul objectif d\u2019am\u00e9liorer l\u2019esth\u00e9tique, il est important de faire examiner les veines afin d\u2019exclure un reflux latent. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Est-il possible de traiter les varices par des comprim\u00e9s ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les m\u00e9dicaments phl\u00e9botropes aident \u00e0 r\u00e9duire les \u0153d\u00e8mes, la lourdeur et les convulsions, mais ils n\u2019\u00e9liminent pas le reflux pathologique. Ils sont utilis\u00e9s dans le cadre d\u2019un traitement combin\u00e9 ou si une intervention chirurgicale n\u2019est pas possible. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"liste-des-sources\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Liste des sources<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Catalogue VOKA.<\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown KR, Bush RL, Di Iorio M, Fish J, Fukaya E, Gloviczki ML, Hingorani A, Jayaraj A, Kolluri R, Murad MH, Obi AT, Ozsvath KJ, Singh MJ, Vayuvegula S, Welch HJ. The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II: Endorsed by the Society of Interventional Radiology and the Society for Vascular Medicine. J Vasc Surg Venous Lymphat Disord. 2024 Jan;12(1):101670. doi:10.1016\/j.jvsv.2023.08.011.     <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown KR, Bush RL, Di Iorio M, Fish J, Fukaya E, Gloviczki ML, Hingorani A, Jayaraj A, Kolluri R, Murad MH, Obi AT, Ozsvath KJ, Singh MJ, Vayuvegula S, Welch HJ. The 2022 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part I. Duplex Scanning and Treatment of Superficial Truncal Reflux: Endorsed by the Society for Vascular Medicine and the International Union of Phlebology. J Vasc Surg Venous Lymphat Disord. 2023 Mar;11(2):231-261.e6. doi: 10.1016\/j.jvsv.2022.09.004.     <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med. 2019 Mar;34(2):269-283. doi: 10.3904\/kjim.2018.230.   <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Gwozdzinski L, Pieniazek A, Gwozdzinski K. Factors Influencing Venous Remodeling in the Development of Varicose Veins of the Lower Limbs. Int J Mol Sci. 2024 Jan 26;25(3):1560. doi: 10.3390\/ijms25031560.   <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Chung JH, Heo S. Varicose Veins and the Diagnosis of Chronic Venous Disease in the Lower Extremities. J Chest Surg. 2024 Mar 5;57(2):109-119. doi: 10.5090\/jcs.23.110.   <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Adler C, Mousa A, Rhee A, Patel MD. Varicose Veins of the Lower Extremity: Doppler US Evaluation Protocols, Patterns, and Pitfalls. Radiographics. 2022 Nov-Dec;42(7):2184-2200. doi: 10.1148\/rg.220057.    <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Gawas M, Bains A, Janghu S, Kamat P, Chawla P. A Comprehensive Review on Varicose Veins: Preventive Measures and Different Treatments. J Am Nutr Assoc. 2022 Jul;41(5):499-510. doi: 10.1080\/07315724.2021.1909510.   <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Les varices des membres inf\u00e9rieurs sont une maladie caract\u00e9ris\u00e9e par un amincissement de la paroi veineuse et une dilatation in\u00e9gale des veines. \u00c9pid\u00e9miologie Les varices des membres inf\u00e9rieurs figurent parmi les maladies chroniques les plus fr\u00e9quentes du syst\u00e8me vasculaire. Selon les \u00e9tudes \u00e9pid\u00e9miologiques : \u00c9tiologie Le d\u00e9veloppement des varices est d\u00fb \u00e0 un ensemble de [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","diseases_category":[234],"class_list":["post-667","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-systeme-vasculaire"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Varices : sympt\u00f4mes, causes, diagnostic, stades et traitement<\/title>\n<meta name=\"description\" content=\"Les varices sont une maladie caract\u00e9ris\u00e9e par un amincissement de la paroi des veines et leur dilatation irr\u00e9guli\u00e8re. Sympt\u00f4mes, causes, diagnostic et traitement.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Varices des membres inf\u00e9rieurs : \u00e9tiologie, pathogen\u00e8se, classification, diagnostic et m\u00e9thodes de traitement\" \/>\n<meta property=\"og:description\" content=\"Les varices sont une maladie caract\u00e9ris\u00e9e par un amincissement de la paroi des veines et leur dilatation irr\u00e9guli\u00e8re. 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