超声引导下腔内射频消融联合点式剥脱治疗下肢静脉曲张的临床效果观察  

Clinical Efficacy of Ultrasound-guided Radiofrequency Endovenous Obliteration Combined with Point-type Stripping in the Treatment of Varicose Veins of Lower Extremity

作　　者：苑超[1] 高荣键 孙伟东 刘思奇[1] 李士勇 王海洋[1] YUAN Chao;GAO Rong-jian;SUN Wei-dong;LIU Si-qi;LI Shi-yong;WANG Hai-yang(Department of Vascular Interventional Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang,150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院血管介入外科,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2020年第7期1272-1276,共5页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81570424)。

摘　　要：目的:探讨超声引导下腔内射频消融(radiofrequency endovenous obliteration,RFO)联合点式剥脱治疗下肢静脉曲张的临床疗效及安全性。方法:选取2017年10月至2018年10月哈尔滨医科大学附属第一医院收治的下肢静脉曲张患者共320例(320条肢体),将其随机分为观察组200例和对照组120例。观察组200例(200条肢体)采用超声引导下腔内射频消融联合点式剥脱进行治疗,对照组120例(120条肢体)采用传统大隐静脉高位结扎剥脱、曲张静脉点式剥脱治疗。比较两组患者平均住院时间、术后并发症的发生情况及术后1年下肢静脉的彩超随访情况。结果:观察组患者平均住院时间较对照组显著缩短,术后皮肤瘀斑、皮下血肿、隐神经损伤、切口感染的发生率显著低于对照组(P<0.05),两组患者术后1年复查,其复发率及大隐静脉主干闭塞情况比较差异没有统计学意义(P>0.05)。结论:与传统大隐静脉高位结扎剥脱、曲张静脉点式剥脱治疗相比,超声引导下腔内射频消融联合点式剥脱治疗下肢静脉曲张的疗效及安全性均更高,有利于患者术后康复。Objective: To investigate the clinical efficacy and safety of ultrasound-guided radiofrequency endovenous obliteration(RFO) combined with point-type stripping in the treatment of varicose veins of lower extremity. Methods: 320 patients(320 limbs) with varicose veins of lower extremities treated in the First Affiliated Hospital of Harbin Medical University from October 2017 to October2018 were randomly divided into the observation group(200 patients) and the control group(120 patients). 200 patients(200 limbs) from the observation group were treated by ultrasound-guided radiofrequency endovenous obliteration combined with point-type stripping,while 120 patients(120 limbs) from the control group were treated by traditional methods of high ligation stripping saphenous vein combined with point-type stripping. Several clinical features were compared between the two groups, including average hospitalization time,postoperative complications and follow-up of ultrasound of lower extremity veins after a year. Results: The observation group showed shorter hospital stay, less postoperative skin ecchymosis, less subcutaneous hematoma, less damage to the saphenous nerve and less incision infection compared with the control group(P<0.05). However, there was no statistically significant difference(P>0.05) in the recurrence rate and occlusion of main saphenous vein after 1 year during the follow-up between the two groups. Conclusions: Compared with the traditional methods of high ligation stripping saphenous vein combined with point-type stripping, ultrasound-guided radiofrequency endovenous obliteration combined with point-type stripping is more effective and safer in the treatment of varicose veins of lower extremity,which is beneficial to the postoperative rehabilitation of patients.

关 键 词：下肢静脉曲张 超声引导下腔内射频消融 点式剥脱 微创 

分 类 号：R654.4[医药卫生—外科学]