腔内射频消融术联合硬化剂注射术及点状剥脱术治疗大隐静脉曲张的临床效果

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Abstract Objective To explore the clinical efficacy of radiofrequency ablation combined with foam sclerotherapy and punctate stripping on treatment of great varicose veins. Methods A total of 80 patients with great saphenous varicose veins treated with Department of Surgery, Beijing Second Hospital from January 2014 to June 2020 were selected. A total of 38 patients treated with radiofrequency ablation combined with foam sclerotherapy and punctate stripping were as the observation group; 42 patients treated with high ligation and stripping of great saphenous veins were as the control group. Intraoperative blood loss, operation time, postoperative hospital length of stay, visual analogue scale (VAS) score, postoperative complications and venous clinical severity score (VCSS) were compared in two groups respectively. Results The amount of intraoperative blood loss in the observation group was less than that in the control group, the operation time and postoperative hospital stay were shorter than that in the control group, and the 24 h postoperative VAS score was lower than that in the control group (P ＜ 0.05). The incidence of subcutaneous ecchymosis and saphenous nerve injury in the observation group was lower than that in the control group (P ＜ 0.05). There was no significant difference in the incidence of incision infection between the two groups (P ＞ 0.05). No superficial thrombophlebitis and deep vein thrombosis occurred in the two groups. After one year follow-up, there was no recurrence in both groups. VCSS scores of the two groups one year after surgery were lower than those before surgery (P ＜ 0.05). Conclusion Radiofrequency ablation combined with foam sclerotherapy and punctate stripping have a significant effect in the treatment of great saphenous varicose veins, which can reduce intraoperative blood loss, shorten operation time and hospital length of stay, reduce complications, and facilitate rapid postoperative recovery.

Key words： Great saphenous vein Radiofrequency ablation Foam sclerotherapy High ligation and stripping

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	FENG Weijing LI Jianming ZHOU Xuetao▲ ZEGN Wei CHEN Chen

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FENG Weijing LI Jianming ZHOU Xuetao▲ ZEGN Wei CHEN Chen. Clinical effecacy of radiofrequency ablation combined with foam sclerotherapy and punctate stripping in treatment of great saphenous varicose veins#br#[J]. 中国医药导报, 2021, 18(32): 122-125.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I32/122

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