摘要
Abstract
Objective:To explore the therapeutic effects of endovascular radiofrequency ablation closure,foam sclerosing agent injection combined with point stripping in the treatment of varicose veins of the lower extremities.Method:A total of 110 patients with varicose veins of the lower extremities admitted to the Second Affiliated Hospital of Bengbu Medical University from April 2024 to November 2025 were selected and divided into two groups by random number table method,with 55 cases in each group.The control group was treated with traditional high ligation and stripping of the great saphenous vein,while the observation group was treated with endovascular radiofrequency ablation closure,foam sclerosing agent injection combined with point stripping.The surgical indicators(operation time,intraoperative blood loss),postoperative indicators(VAS score 24 hours after operation,postoperative time to get out of bed and move around,postoperative hospital stay),therapeutic effects and the occurrence of complications were compared between the two groups.The severity of venous diseases[venous clinical severity score(VCSS)]and quality of life[Aberdeen varicose vein questionnaire(AVVQ)]in the two groups before the operation and one month after the operation were compared.Result:Compared with the control group,the observation group had a shorter operation time,less intraoperative blood loss,a lower VAS score at 24 hours after the operation,an earlier time to get out of bed and move around,and a shorter postoperative hospital stay(P<0.05).There were no statistically significant differences in the preoperative severity of the disease and quality of life between the two groups(P>0.05).One month after the operation,compared with the control group,the VCSS and AVVQ score of the observation group were lower(P<0.05).One month after the operation,the total effective rate of treatment in the observation group was higher than that in the control group,and the total incidence of complications was lower than that in the control group(P<0.05).Conclusion:Endovascular radiofrequency ablation closure,foam sclerosing agent injection combined with point stripping have good therapeutic effects on varicose veins of the lower extremities.They can effectively reduce intraoperative trauma and postoperative pain,promote the patient's recovery as soon as possible,lower the incidence of postoperative complications,and improve the patient's quality of life.关键词
下肢静脉曲张/点式剥脱/泡沫硬化剂/腔内射频消融闭合术Key words
Varicose veins of lower extremity/Point stripping/Foam sclerosing agent/Endovascular radiofrequency ablation closure分类
医药卫生
