摘要
目的比较腔内射频消融联合泡沫硬化剂与高位结扎联合点式剥脱术治疗大隐静脉曲张的临床效果。方法回顾性分析2022年5月~2023年5月我院收治的80例大隐静脉曲张患者的临床资料。将接受腔内射频消融联合泡沫硬化剂治疗的患者纳入射频消融组(43例),接受高位结扎联合点式剥脱术治疗的患者纳入高位结扎组(37例)。对比两组患者的围术期参数(手术时间、术中出血量、住院时间)、术后疼痛、静脉临床危重程度评分(VCSS)、慢性静脉功能不全生活质量问卷(CIVIQ)评分及术后并发症发生率(切口/穿刺点感染、色素沉着、瘀斑)。结果射频消融组患者的手术时间、术中出血量、住院时间均少于高位结扎组(P<0.05);射频消融组患者术后疼痛程度低于高位结扎组(P<0.05)。两组术前、术后1个月、术后6个月的VCSS、CIVIQ评分均无显著差异(P>0.05)。组内比较,术后6个月的VCSS评分低于术后1个月,术后1个月VCSS评分低于术前(P<0.05);术后6个月的CIVIQ评分高于术后1个月,术后1个月CIVIQ评分高于术前(P<0.05)。射频消融组患者术后并发症发生率低于高位结扎组(P<0.05)。结论两种术式的疗效相当,均能提高患者的生活质量,但在手术时间、术后恢复和手术安全性方面,腔内射频消融联合泡沫硬化剂的效果更好。
Objective To compare the clinical curative effect of intracavitary radiofrequency ablation combined with foam sclerosing agent and high ligation combined with point stripping in the treatment of varicose great saphenous vein.Methods A retrospective analysis was performed on the clinical data of 80 patients with varicose great saphenous vein admitted to our hospital from May 2022 to May 2023.Patients were divided into radiofrequency ablation group(43 cases,intracavitary radiofrequency ablation combined with foam sclerosing agent)and high ligation group(37 cases,high ligation combined with point stripping).The perioperative parameters(operation time,intraoperative blood loss,hospitalization time),postoperative pain,venous clinical severity score(VCSS),chronic venous insufficiency questionnaire(CIVIQ)score and incidence of postoperative complications(incision/puncture site infection,pigmentation,ecchymosis)were compared between the two groups.Results The operation time,intraoperative blood loss and hospitalization time in radiofrequency ablation group were lower than those in high ligation group(P<0.05),and postoperative pain level was lower than that in high ligation group(P<0.05).There was no significant difference in VCSS or CIVIQ scores between the two groups before surgery,at 1 month and 6 months after surgery(P>0.05).Intragroup comparison showed that the VCSS score at 6 months after operation were lower than that at 1 month after operation,and the VCSS at 1 month after operation were lower than that before operation(P<0.05).The CIVIQ score at 6 months after operation was higher than that at 1 month after operation,and the CIVIQ score at 1 month after operation was higher than that before operation(P<0.05).The incidence of postoperative complications in radiofrequency ablation group was lower than that in high ligation group(P<0.05).Conclusion Intracavitary radiofrequency ablation combined with foam sclerosing agent has the same curative effect as high ligation combined with point stripping,both of which can improve the quality of life in patients with varicose great saphenous vein.However,intracavitary radiofrequency ablation combined with foam sclerosing agent has better effect in terms of operation time,postoperative recovery and surgical safety.
作者
徐晓冬
XU Xiao-dong(Department of Surgery,Huguo Temple Hospital of Traditional Chinese Medicine Affiliated to Beijing University of Chinese Medicine,Beijing 100035,China.)
出处
《医师在线》
2024年第7期40-43,共4页
Journal of Doctors Online
关键词
大隐静脉曲张
腔内射频消融
高位结扎
泡沫硬化剂
点式剥脱术
Varicose great saphenous vein
Intracavitary radiofrequency ablation
High ligation
Foam sclerosing agent
Point stripping surgery
