射频闭合与传统剥脱术治疗下肢静脉曲张的对照研究  

A comparative study on radiofrequency endovenous obliteration (RFO) and saphenous veins stripping for the treatment of varicose veins

作　　者：单平[1] 李鸣[1] 金炜[1] 张鸿坤[1] 赵海格[1] 陈旭东[1] 田路[1] 潘松龄[1] 

机构地区：[1]浙江大学医学院附属第一医院血管外科,杭州310003

出　　处：《中华普通外科杂志》2006年第2期92-94,共3页Chinese Journal of General Surgery

摘　　要：目的评价射频闭合(radiofrequency endovenous obliteration,RFO)的疗效。方法 56例(56条肢体)大隐静脉曲张患者随机分为两组,每组28例。RFO组利用射频能量使大隐静脉全程闭合,静脉剥脱组用传统方法高位结扎剥脱大隐静脉。两组病例小腿散在的曲张浅静脉均采用点式剥脱处理。比较两组病例的切口数、术后疼痛、平均住院日和短期疗效等情况。结果 RFO组平均切口少、术肢疼痛轻、无皮下血肿,术后平均住院日(2．50±1．00)d。静脉剥脱组的术后平均住院日(4．14±0．85)d。结论 RFO闭合大隐静脉具有创伤小、恢复快、腿部少留瘢痕等优点,是一种可部分替代传统大隐静脉高位结扎剥脱术的有效方法。Objective To evaluate therapeutic results of radiofrequency endovenous obliteration （RFO） for the treatment of varicose veins of the lower limbs. Methods Fifty six cases （56 limbs ） of primary greater saphenous vein tributary varicose veins were randomly assigned to RFO group （ n = 28 ） and conventional stripping operation group （ n = 28）. In RFO group, the wall of the greater saphenous vein was treated at 85℃ with the catheter to occlude the whole length of the vein. The other 28 cases underwent stripping procedure. The scattered superficial varicose veins in calf in both groups were managed by phlebectomy. The number of surgical incision, postoperative pain, average hospital days and the short-term results were compared. Results Patients in RFO group have less surgical incisions and less postoperative pain, without subcutaneous hematoma. The average hospital stay was 2. 5 ±1.00 days in RFO group compared to 4. 14 ±0. 85 days in stripping operation group. Conclusions RFO effectively obliterates the whole length of the great saphenous vein and is of less trauma, faster recovery, and less scars.

关 键 词：静脉曲张 血管外科手术 射频 静脉内闭合 

分 类 号：R654.3[医药卫生—外科学] R543.6[医药卫生—临床医学]