Short-Term Efficacy of Two Different Access Site Ultrasound-Guided Radiofrequency Ablation for Saphenous Varicose Veins at Two Different Access Sites
- VernacularTitle:超声引导下不同穿刺部位射频消融治疗大隐静脉曲张的近期疗效分析
- Author:
Hai-peng HE
1
;
Shuang-hong CAI
1
;
Yang ZHAO
1
;
Ren LIN
1
;
Jun-bing LV
1
;
Heng-hui YIN
1
;
Jie-sheng QIAN
1
Author Information
1. Department of Vascular Surgery，The Third Affiliated Hospital，Sun Yat-sen University，Guangzhou 510630，China
- Publication Type:Journal Article
- Keywords:
ultrasound-guided, radiofrequency ablation, above/below knee, great saphenous vein, clinical efficacy
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2020;41(2):288-293
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the efficacy and safety of ultrasound- guided above- knee and below- knee radiofrequency ablation for the treatment of saphenous varicose veins.【Methods】Patients who underwent ultrasound-guided radiofrequency ablation closure in our department from July 2019 to November 2019 were compared in operation time ， recovery time，volume of sclerosant foam，pain score，venous clinical severity score（VCSS），Aberdeen Varicose Veins Questionnaire （AVVQ）， and complications. 【Results】 Fifty- nine patients underwent above- knee radiofrequency ablation and 19 patients underwent below-knee radiofrequency ablation. The average operation time（69.75 vs. 78.95）min， time return to normal activity（2.93 vs. 3.58）min or the volume of foam（28.3 vs. 24.2）mL were similar in both groups. The pain score，VCSS，and AVVQ scores 24 h，1 week，or 4 w postoperative decreased significantly in the two groups. No deep vein thrombosis，pulmonary embolism，or infection occurred in the two groups after surgery. Other complications including phlebitis，pigmentation，bleeding，rash，or paresthesia，showed no difference in rates. And overall incidence of complications were similar between the two groups. 【Conclusions】 Both above-knee and below-knee radiofrequency ablation are safe and effective treatments for great saphenous varicose veins.
