Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity
10.12025/j.issn.1008-6358.2025.20250158
- VernacularTitle:大隐静脉改良射频消融术治疗大隐静脉曲张的疗效分析
- Author:
Yachao WANG
1
;
Hao JI
1
;
Luyi SI
1
;
Yuanyuan KONG
1
;
Haijun MEI
1
Author Information
1. Department of Interventional and Vascular Surgery, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, China.
- Publication Type:Techniqueandmethod
- Keywords:
great saphenous vein varicosity;
modified radiofrequency ablation;
high stripping and ligation;
complication
- From:
Chinese Journal of Clinical Medicine
2025;32(4):647-653
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of modified radiofrequency ablation (RFA) combined with sclerosing agent injection and high stripping and ligation (HSL) combined with sclerosing agent injection in the treatment of great saphenous vein varicosity. Methods A total of 220 patients (252 affected limbs) who underwent surgery for great saphenous vein varicosity at Affiliated Hospital of Nantong University from May 2022 to March 2024 were selected. They were divided into RFA group (110 patients and 125 affected limbs treated with modified RFA combined with sclerosing agent injection) and HSL group (110 patients and 127 affected limbs treated with HSL combined with sclerosing agent injection) according to the surgical methods. The treatment effect, surgical time, bleeding during the surgery, time to get out of bed after surgery, and various postoperative complications were compared between the two groups. The pain level, disease severity, and the quality of life were measured using the visual analog scale (VAS), venous clinical severity score (VCSS) and chronic venous insufficiency questionnaire-14 item (CIVIQ-14), respectively. Results There was no statistically significant difference in the total effective rate between the two groups of patients, but the distribution of efficacy levels in the RFA group was better than that in the HSL group (P＝0.044). Compared with the HSL group, the RFA group had shorter surgery time, fewer incisions during surgery, less bleeding during the surgical process, shorter time to get out of bed after surgery（P＜0.01）, and a lower overall complication rate (P＝0.006). The RFA group had lower postoperative VAS, VCSS, and CIVIQ-14 scores than the HSL group 1 month after surgery (P＜0.01). During 6 months of postoperative follow-up, the recurrence rates were similar between the two groups. Conclusions Compared with HSL combined with sclerosing agent injection, the modified RFA combined with sclerosing agent injection for the great saphenous vein varicosity has the advantages of less trauma, faster recovery, fewer complications, better postoperative quality of life, and is worthy of clinical promotion and application.
