腔内射频消融术联合局部点状剥脱与腔内激光闭塞术联合大隐静脉高位结扎治疗下肢静脉曲张的疗效比较  

Efficacy comparison of radiofrequency ablation combined with local point stripping and endovenouslaser treatment combined with high saphenous vein ligation for varicose veins of lower extremity

作　　者：王凯杰 朱明林[1] 王乐[1] 吴云[1] 梁川[1] 赵金平[1] WANG Kaijie;ZHU Minglin;WANG Le(Department of Thoracic and Cardiovascular Surgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院胸心血管外科,430071

出　　处：《临床外科杂志》2020年第6期515-517,共3页Journal of Clinical Surgery

摘　　要：目的比较血管腔内射频消融术(RFA)联合局部点状剥脱和腔内激光闭塞术(EVLT)联合大隐静脉高位结扎两种手术方式治疗下肢静脉曲张的临床疗效。方法下肢静脉曲张病人120例,根据治疗方法不同分为两组,R组60例,采用血管腔内射频消融术联合局部点状剥脱;E组60例,采用EVLT联合大隐静脉高位结扎术。比较两组病人手术时间、术中出血量、住院总费用、住院时间及术后并发症(疼痛、肿胀、局部血肿、皮肤感染、皮肤灼伤、隐神经损伤)发生率。结果两组病人手术时间比较差异无统计学意义,两组术中出血量、住院时间、住院总费用、术后并发症发生率比较,差异有统计学意义(P<0.05)。结论RFA联合局部点状剥脱治疗下肢静脉曲张的疗效优于EVLT联合大隐静脉高位结扎术,术中出血少,恢复快,治疗费用低,术后并发症少。Objective To compare the clinical effectiveness of radiofrequency ablation(RFA)combined with local point stripping and endovenous laser treatment(EVLT)combined with high saphenous vein ligation in the treatment of varicose veins of lower extremity.Methods 120 patients with varicose veins of lower extremity were treated with intravascular radiofrequency ablation combined with local point stripping(60 cases,group R)and EVLT combined with high saphenous vein ligation(60 cases,group E).Duration of the operation,intraoperative blood loss,total hospitalization cost,length of hospital stay,and postoperative complications(pain,swelling,local hematoma,skin infection,Incidence of burn,saphenous nerve injury)of the patients were compared.Results There was no significant difference in the operation time between the two groups.However,there were more bleeding in the group E than in the group R,longer hospital stay,higher cost of hospitalization,and higher postoperative complications.The difference was statistically significant(P<0.05).Conclusion Intracavitary radiofrequency ablation combined with local point stripping is superior to endovenous laser treatment combined with high saphenous vein ligation,and it is safe,with less intraoperative bleeding,quick recovery,and low treatment cost,the advantages of less postoperative complications.

关 键 词：下肢静脉曲张 血管腔内射频消融术 腔内激光闭塞术 

分 类 号：R654.4[医药卫生—外科学]