射频消融术与传统分段剥脱切除术对下肢浅静脉曲张的效果差异分析  

Comparative Analysis of the Efficacy of Radiofrequency Ablation and Traditional Segmental Stripping for Lower Limb Superficial Varicose Veins

作　　者：罗海平 LUO Haiping(Department of Vascular Surgery,Sanming First Hospital,Sanming,Fujian 365000,China)

机构地区：[1]福建省三明市第一医院血管外科,福建三明365000

出　　处：《生物医学工程学进展》2025年第1期42-48,共7页Progress in Biomedical Engineering

摘　　要：目的比较射频消融术与传统分段剥脱切除术治疗下肢浅静脉曲张的临床效果。方法回顾性分析2021年1月至2023年12月在福建省三明市第一医院接受下肢浅静脉曲张手术治疗的160例患者,按手术方式分为观察组(行射频消融术,80例)和对照组(行传统分段剥脱切除术,80例)。比较两组手术相关指标、CEAP分级变化、生活质量评分(CIVIQ)及术后并发症发生情况。结果观察组在术中出血量、术后24h VAS评分、首次下床时间和术后住院时间方面显著优于对照组(P<0.001)。术后3个月,两组CEAP分级均较术前显著改善(P<0.001),观察组改善程度优于对照组(P<0.05)。术后3个月,两组CIVIQ各维度评分均较术前显著改善(P<0.001),观察组改善程度显著优于对照组(P<0.001)。观察组总并发症发生率显著低于对照组(6.25%vs 18.75%,P=0.017)。结论射频消融术治疗下肢浅静脉曲张较传统分段剥脱切除术具有创伤小、恢复快、并发症少、生活质量改善明显等优势,是一种安全有效的微创治疗方法。Objective To compare the clinical effects of radiofrequency ablation and traditional segmental stripping in the treatment of lower limb superficial varicose veins.Methods A retrospective analysis was conducted on 160 patients who underwent surgery for lower limb superficial varicose veins in Sanming First Hospital from January 2021 to December 2023.The patients were divided into two groups based on the type of surgery:the observation group(underwent radiofrequency ablation,n=80)and the control group(underwent traditional segmental stripping,n=80).Surgical-related indicators,changes in CEAP classification,quality of life scores(CIVIQ),and the occurrence of postoperative complications were compared between the two groups.Results The observation group showed significantly better results than the control group in terms of intraoperative blood loss,24-hour postoperative VAS scores,time to first ambulation,and postoperative hospital stay(P<0.001).At three months postoperatively,both groups exhibited significant improvement in CEAP classification compared to pre-operative levels(P<0.001),with the observation group showing greater improvement than the control group(P<0.05).Similarly,both groups showed significant improvements in all dimensions of CIVIQ scores at 3 months postoperatively(P<0.001),with the observation group displaying significantly greater improvements than the control group(P<0.001).The overall complication rate in the observation group was significantly lower than that in the control group(6.25%vs 18.75%,P=0.017).Conclusions Compared to traditional segmental stripping,radiofrequency ablation for the treatment of lower limb superficial varicose veins has the advantages of reduced trauma,faster recovery,fewer complications,and more significant improvements in quality of life making it a safe and effective minimally invasive treatment method.

关 键 词：射频消融术 传统分段剥脱切除术 下肢浅静脉曲张 CEAP分级 生活质量 微创介入 

分 类 号：R454.1[医药卫生—治疗学]