射频消融治疗大隐静脉曲张的近期有效性及安全性

Short-term efficacy and safety of radiofrequency ablation for treatment of varicosis of great saphenous vein

目的观察射频消融(RFA)治疗大隐静脉曲张的近期有效性及安全性。方法回顾性分析接受超声引导下RFA治疗的17例大隐静脉曲张患者(26条患肢)术前1周、术后即刻及术后1、3、6个月临床资料。结果26条患肢中,术后即刻及术后1、3、6个月大隐静脉闭塞率均为100%(26/26)。术后3、6个月患肢活动能力较术前1周好转(P均<0.05),术后6个月疼痛程度较术前1周缓解(P<0.05)。术后1、3、6个月患肢临床-病因-解剖-病理生理(CEAP)临床分级及修订版静脉临床严重程度评分(rVCSS)与术前1周比较分级均降低(P均<0.01)。术后6个月内7条患肢发生皮下条索僵硬静脉,1条隐股点不适,3条皮下出血。结论RFA治疗大隐静脉曲张近期疗效好,且并发症少。

Objective To observe the short-term efficacy and safety of radiofrequency ablation(RFA)for treatment of varicosis of great saphenous vein.Methods Data of 17 patients(26 limbs)with great saphenous varicose veins treated with RFA under guidance of ultrasound were analyzed retrospectively,including 1 week before RFA,immediately after RFA as well as 1,3 and 6 months post operation.Results The occlusion rate of great saphenous vein was 100%(26/26)immediately,1,3 and 6 months after operation.The mobility of the limbs improved 3 and 6 months after operation compared with 1 week before operation(both P<0.05),the pain was relieved 6 months after surgery compared with 1 week before surgery(P<0.05).All grades in clinic-etiologic-anatomic-pathophysiological classification(CEAP)and revised venous clinical severity score(rVCSS)of limbs 1,3,6 months after operation were lower than 1 week before RFA(all P<0.01).During 6 months'follow up,subcutaneous cord stiff vein occurred in 7 limbs,saphenofemoral junction discomfort occurred in 1 limb,while subcutaneous hemorrhage developed in 3 limbs.Conclusion RFA is effective for treatment of varicosis of great saphenous vein with few complications.