摘要
目的评估超声引导下腔内射频消融(radiofrequency ablation,RFA)联合点式剥脱治疗下肢静脉曲张的疗效及安全性。方法对2021年9月至2022年1月期间在新疆维吾尔自治区人民医院接受下肢静脉曲张手术治疗的患者资料进行回顾性研究,纳入符合研究标准的80例(89条肢体)患者,根据手术方式的不同分为2组,RFA组40例(49条肢体)和传统剥脱40例(40条肢体)。对两组患者围术期及随访12个月时患者恢复情况进行统计分析。结果两组手术成功率均为100%,未见严重并发症。RFA组术后1年大隐静脉闭合率达到93.8%。RFA组住院时间、术中出血量、术后皮肤瘀斑较传统剥脱组少(P<0.05)。疼痛评分术后1天、1周时,RFA组患者明显低于与传统剥脱组(P<0.05),在术后1月时两组之间无差别。RFA组在皮下血肿、局部神经损伤、切口感染方面也较传统剥脱组少,但无统计学差异(P﹥0.05)。同时两组患者术后12月的小腿浅静脉复发无统计学差异(P﹥0.05)。结论超声引导下腔内RFA联合点式剥脱治疗下肢静脉曲张更加微创,具有住院时间短、术中出血量少、疼痛程度更轻、术后恢复快等优点,是一种可以替代传统手术治疗的方案,值得临床推广。
Objective To evaluate the efficacy and safety of ultrasound-guided intracavitary radiofrequency ablation combined with spot stripping for varicose veins of lower extremities.Method A retrospective study was conducted on the data of patients who received surgical treatment for varicose veins of lower limbs in the People′s Hospital of Xinjiang Uygur Autonomous Region from September 2021 to January 2022.Eighty patients(89 limbs)who met the research criteria were included for analysis and divided into two groups according to different surgical methods.There were 40 cases(49 limbs)in the RFA group and 40 cases(40 limbs)in the traditional exfoliation group.The recovery of patients in the two groups during perioperative period and 12 months of follow-up was statistically analyzed.Results The success rate of surgery in both groups was 100%,no serious complications were observed.The occlusion rate of great saphenous vein in RFA group reached 93.8%one year after operation.The length of stay,intraoperative blood loss and postoperative skin ecchymosis in RFA group were less than those in traditional stripping group(P<0.05).Pain score at 1 day and 1 week was significantly lower in the RFA group than in the traditional stripping group(P<0.05),and no difference was found between the two groups at 1 month after surgery.There was also fewer subcutaneous hematoma,local nerve injury and incision infection in RFA group than in traditional stripping group,but there was no statistical difference(P>0.05).At the same time,there was no statistical difference between the two groups in superficial calf vein recurrence 12 month after surgery(P>0.05).Conclusion Ultrasound-guided intracavitary RFA combined with point stripping in the treatment of varicosity veins of lower extremities is more minimally invasive,has the advantages of shorter hospital stay,less intraoperative blood loss,less pain,and faster postoperative recovery.It is an alternative to traditional surgical treatment and worthy of clinical promotion.
作者
杨建平
祖力凯尔·艾尼瓦
唐加热克
朱兵
戈小虎
管圣
YANG Jianping;Zulikaier Ainiwa;TANG jiareke;ZHU Bing;GE Xiaohu;GUAN Sheng(Department of Vascular Surgery,The People’s Hospital of Xinjiang Uygur’s Autonomous Region,Urumqi,830001,China)
出处
《新疆医学》
2024年第7期778-781,共4页
Xinjiang Medical Journal
基金
新疆维吾尔自治区自然科学基金(项目编号:2021D01C174)
关键词
静脉曲张
射频消融
高位结扎剥脱术
临床疗效
varicose vein
radiofrequency ablation
high ligation and stripping
clinical efficacy
