Postoperative complications of patients with varicose vein of lower limbs treated with foam sclerotherapy and endovenous laser
10.3760/cma.j.issn.1007-631X.2017.08.016
- VernacularTitle:泡沫硬化剂与腔内激光治疗小腿部静脉曲张术后并发症的比较分析
- Author:
Shang JU
;
Yu GAO
;
Ning WANG
;
Xiaofu ZHANG
;
Xin CAO
;
Chengcheng YAN
- Keywords:
Varicose veins;
Postoperative complications;
Foam sclerotherapy;
Endovenous laser
- From:
Chinese Journal of General Surgery
2017;32(8):687-690
- CountryChina
- Language:Chinese
-
Abstract:
Objective To Compare postoperative complications between patients with varicose veins of the lower limbs treated with foam sclerotherapy or endovenous laser.Method From 2011 to 2015,simple varicosis of great saphenous vein patients (grade C3-6) in 2 542 cases,3 468 limbs were divided into 2 groups.Combined with high ligation of great saphenous vein plus stripping,foam sclerotherapy group (1 355 cases) underwent calf foam sclerotherapy (1％ polidocanol),endovenous laser group (1 187 cases) underwent endovenous laser therapy.All postoperative patients were treated with stretch socks for 3 months.Postoperative pain (calf),deep vein thrombosis,pulmonary embolism,superficial thrombophlebitis,saphenous nerve injury,ecchymoma,migraine,allergic dermatitis,pigmentation in 2 groups were compared.Result During the follow-up,28 cases in foam sclerotherapy group had saphenous nerve injury (2％),1 071 (79.1％) cases had subcutaneous ecchymosis,613 cases (51.6％) in endovenous laser group had saphenous nerve injury,979 cases (82.5％) had subcutaneous ecchymosis,8 cases (1.0％) had skin burns (x2 =824.660,4.786,9.161,P ＜ 0.05).Endovenous laser group (23.8％) was significantly better than that of foam sclerotherapy group (30.8％) in pigmentation (x2 =15.243,P ＜0.05).Conclusion Treatment of varicose veins of the lower leg with foam sclerotherapy has less postoperative complications compared with endovenous laser.
