The comparison of the efficacy and cost of three methods for treating varicose of great saphenous vein
10.3969/j.issn.1002-1671.2025.04.025
- VernacularTitle:3种方法治疗大隐静脉曲张的疗效及费用比较
- Author:
Junchen WANG
1
;
Bin TIE
;
Yang WANG
;
Cheng YANG
;
Wei HU
;
Xinlin YU
;
Yuechun LI
;
Haiguo GUO
Author Information
1. 甘肃省第二人民医院 西北民族大学附属医院介入医学科,甘肃 兰州 730000
- Publication Type:Journal Article
- Keywords:
varicose of great saphenous vein;
high ligation;
stripping;
simple foam sclerotherapy;
medical cost
- From:
Journal of Practical Radiology
2025;41(4):651-655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy and medical costs of high ligation and stripping of the great saphenous vein,simple foam sclerotherapy,and high ligation of the great saphenous vein combined with foam sclerotherapy for treating varicose of great saphenous vein.Methods The clinical data of patients with varicose of great saphenous vein undergoing high ligation and stripping of the great saphenous vein,simple foam sclerotherapy,or high ligation of the great saphenous vein combined with foam sclerotherapy were analyzed retrospectively.The evaluation included efficacy assessment,quality of life evaluation,hospitalization days and costs,postoperative complications,and recurrence after surgery.Results There were no statistical differences in gender,age,disease course and clinical etiology anatomy pathophysiology(CEAP)grading system among the three groups(P＞0.05).The clinical efficacy assessments in all patients among the three groups showed significant effects at 3 and 6 months postoperatively.One patient in the group treated with high ligation of the great saphenous vein combined with foam sclerotherapy suffered deep vein thrombosis of lower extremity after operation.In terms of quality of life,there was no statistically significant difference in venous clinical severity score(VCSS)among the three groups at 3 months postoperatively(P＞0.05).The group treated with simple foam sclerotherapy showed significantly shorter hospitalization days compared with the other two groups.Additionally,the group treated with simple foam sclerotherapy showed lower hospitalization expenses,which was not statistically significant when compared to the group treated with high ligation and stripping of the great saphenous vein group(P＞0.05),but there was a statistical difference compared to the group treated with high ligation of the great saphenous vein combined with foam sclerotherapy(P＜0.05).Conclusion There are no significant differences in clinical efficacy,postoperative pain,and quality of life evaluation among the three methods.However,simple foam scle-rotherapy may reduce the length of hospitalization stay and direct medical costs.
