岭南现代临床外科2026，Vol.26Issue(1)：42-46,5.DOI:10.3969/j.issn.1009-976X.2026.01.006
Havst导管剥脱大隐静脉曲张主干的临床研究
Research of great saphenous vein trunk stripping using the Havst catheter
摘要
Abstract
Objective To compare the short-term outcomes of the Havst catheter-assisted stripping technique versus conventional stripping for trunk of great saphenous vein(GSV).Methods We retro-spectively analyzed clinical data from 80 consecutive patients with great saphenous vein(GSV)varicosi-ties who underwent surgical treatment in our department between January 2025 and June 2025.Patients were equally allocated into two groups(n=40 each):the external stripping group(high ligation of the great saphenous vein+trunk stripping in the thigh+stab phlebectomy in the calf)and the conventional stripping group(high ligation+trunk stripping in the thigh+stab phlebectomy in the calf).The two groups were compared across multiple parameters:age and sex distribution,clinical severity(CEAP classification),thigh-level incision length,GSV trunk stripping time(including tumescent anesthesia administration),length of hospital stay,surgical pain score,and thigh ecchymosis area on postoperative Day 3.Results No statistically significant differences were observed between the external stripping group and conventional stripping group regarding age,gender distribution,clinical classification(CEAP),length of hospital stay,surgical pain score,and thigh ecchymosis area on postoperative Day 3.(all P>0.05).The external stripping group demonstrated significantly shorter incision lengths and reduced stripping times compared to the conventional group(both P<0.001).Conclusion The Havst catheter system enables minimally invasive stripping of the great saphenous vein(GSV)trunk through a single small incision,with significantly improved procedural efficiency.关键词
大隐静脉曲张/Havst导管/短期疗效Key words
varicose saphenous vein/Havst catheter/short-term outcomes分类
医药卫生引用本文复制引用
林孝文,胡闽湘,彭翔宇,李鹏飞,黄庆锦..Havst导管剥脱大隐静脉曲张主干的临床研究[J].岭南现代临床外科,2026,26(1):42-46,5.基金项目
福建省科技厅卫生联合项目(2024J01769) （2024J01769）
