微波消融联合泡沫硬化术与射频消融联合泡沫硬化术治疗下肢静脉曲张的疗效对比

Clinical effects comparison between microwave ablation combined with foam sclerosis and radiofrequency ablation combined with foam sclerosis in treating varicose veins of lower extremity

目的探究腔内微波消融(EMA)联合泡沫硬化剂治疗与腔内射频消融(RFA)联合泡沫硬化剂治疗下肢静脉曲张的临床疗效和并发症情况。方法回顾性选择收集106例下肢静脉曲张患者的临床资料,其中54例患者(观察组)接受EMA联合泡沫硬化剂治疗,52例患者(对照组)接受RFA联合泡沫硬化剂治疗。比较2组患者相关临床指标及并发症发生情况。结果观察组手术时间(34.92±2.35)min,对照组手术时间(46.33±2.71)min,观察组手术时间较短,差异有统计学意义(P<0.05),其余手术参数差异不明显(P>0.05)。观察组的住院费用(21063.74±850.47)元,对照组住院费用(23312.40±1035.86)元,观察组住院费用较低,有统计学差异(P<0.05)。2组间并发症发生率、总有效率和总满意度均无显著差异。对比2组患者手术前和手术治疗后1年的静脉临床严重程度评分、阿伯丁静脉曲张问卷评分,组间对比没有统计学差异(P>0.05);而在患者手术1年之后的静脉临床严重程度评分、阿伯丁静脉曲张问卷评分均呈现出明显的下降趋势(P<0.05)。结论微波消融是有效治疗下肢静脉曲张的术式,与射频消融比较,具有同样良好的短期效果;微波消融所需的手术时间较短且费用较低。

Objective To compare the clinical efficacy and complications between endovascular microwave ablation(EMA)combined with foam sclerotherapy and radiofrequency ablation(RFA)combined with foam sclerotherapy in patients with varicose veins of lower extremity.Methods A total of 106 patients with varicose veins of lower extremity were included in the retrospective study.Among them,54 patients(observation group)were treated with EMA combined with foam sclerotherapy,and 52 patients(control group)were treated with RFA combined with foam sclerotherapy.The related clinical indexes and complications between the two groups were compared.Results The observation group had a shorter procedure time than the control group(34.92±2.35 minutes vs 46.33±2.71 minutes,P<0.05),and no significant differences were observed in the other procedure parameters.The hospitalization cost was(21063.74±850.47)yuan for the observation group and(23312.40±1035.86)yuan for the control group,and the hospitalization cost of the observation group was lower(P<0.05).No significant differences were found in the total effective rate,total satisfaction and complication rate between the two groups.Comparison of venous clinical severity score(VCSS)and Aberdeen varicose vein questionnaire(AVVQ)scores before and one year after operation between the two groups showed no statistical differences(P>0.05).While the VCSS and AVVQ scores of the patients showed a significant downward trend one year after operation(P<0.05).Conclusions Microwave ablation is an effective treatment for varicose veins in the lower extremity,which has the same good short-term effect as radiofrequency ablation.Microwave ablation requires a shorter operation time and less cost.