日间手术模式下腔内射频消融术与静脉剥脱导管主干剥脱术治疗大隐静脉曲张疗效比较

目的 比较日间手术模式下大隐静脉腔内射频消融术与静脉剥脱导管主干剥脱治疗大隐静脉曲张的安全性及有效性.方法 收集2020年2月至2021年1月大连市金州区第一人民医院收治的84例行日间手术的大隐静脉曲张患者的临床资料,根据手术方式的不同将患者分为射频组(n=44,采用大隐静脉主干射频消融术+小腿浅表静脉泡沫硬化+部分小...

Comparison of intraluminal radiofrequency ablation of great saphenous varicose vein and venous stripping catheter trunk stripping under day surgery mode

Objective To compare the safety and efficacy of intraluminal radiofrequency ablation of the great saphenous vein and venous stripping catheter trunk stripping in the treatment of great saphenous varicose vein under day surgery mode.Method The clinical data of 84 patients with great saphenous varicose vein who underwent day surgery from February 2020 to January 2021 in the First People's Hospital of Jinzhou District in Dalian were collected.The patients were divided into a radiofrequency group(n=44,using radiofrequency ablation of the great saphenous vein+foam sclerosis of the superficial calf vein+partial small incision punctiform stripping)and a stripping group(n=40,using the great saphenous vein stripping catheter stripping+superficial calf Intravenous foam sclerosis+some small incision punctiform stripping).The surgical indicators,the incidence of surgical complications,visual analogue scale(VAS)score and the venous clinical severity score(VCSS)at 6-12 months after the surgery were compared between the two groups.Result All patients underwent successful surgery in the day surgery mode.There was no significant difference in the operation time and intraoperative blood loss volume between the two groups(P>0.05).The intraoperative VAS score of the patients in the radiofrequency group was significantly higher than that in the ablation group,the difference was statistically significant(P<0.01).There were no serious postoperative complications and nerve injuries reported in the two groups.The incidence of postoperative subcutaneous ecchymosis in the stripping group was significantly higher than that in the radiofrequency group,and the difference was statistically significant(P<0.01).Conclusion The stripping of the great saphenous vein trunk,based on the employment of venous stripping catheter under day surgery mode,of great saphenous varicose vein,could achieve a comparable rapid postoperative recovery effect as endoluminal radiofrequency ablation.The foregoing method could achieve an relaible curative effect,low-level pain,and high safety,which is worthy of clinical promotion.