射频感应温热疗法消融治疗下肢静脉曲张的近期疗效观察

doi:10.3969/j.issn.1005-6483.2022.01.026

摘要/Abstract

摘要： 目的探讨射频感应温热疗法(radiofrequency-induced thermotherapy,RFITT)消融在下肢静脉曲张治疗中的临床价值。
方法 2018年9月~2019年8月我科收治的原发性下肢静脉曲张病人78例(78条肢体)，分为研究组(43例)和对照组(35例)。研究组采用RFITT消融加泡沫硬化剂注射加点式剥脱术，对照组采用传统的高位结扎加泡沫硬化剂注射加点式剥脱术。对两组病人手术时间、出血量、术后住院时间、并发症、静脉曲张复发率、大隐静脉闭合率、静脉临床严重程度评分(venous clinical severity score，VCSS)、慢性静脉功能不全问卷(chronic venous insufficiency questionnaire，CIVIQ)评分进行比较。
结果研究组手术时间(48.6±10.1)分钟，出血量(20.1±3.2)ml，住院时间(1.6±1.0)天，对照组分别为(63.1±17.8)分钟、(65.4±9.8)ml、(5.2±1.7)天，两组比较，差异有统计学意义(P＜0.05)。研究组术后并发症发生率为4.7%，对照组为22.9%，两组比较，差异有统计学意义(P＜0.05)。研究组治疗前VCSS评分(4.3±0.2)、治疗后(1.4±0.9)，对照组分别为(4.6±0.1)、(1.6±0.4)，两组比较，差异无统计学意义(P＞0.05)。研究组治疗后CIVIQ评分(91.2±10.8)，对照组为(83.5±10.1)，两组比较，差异有统计学意义(P＜0.05)；术后6个月随访，两组病人均无静脉曲张复发，大隐静脉闭合率为100%。
结论 RFITT消融治疗下肢静脉曲张安全可行，手术时间短，出血量少，住院时间短，并发症少，近期效果满意。

关键词: 下肢静脉曲张, 射频感应温热疗法, 泡沫硬化

Abstract: Objective To explore the clinical value of radiofrequency-induced thermotherapy(RFITT) ablation for varicose veins of the lower limbs.
Methods 78 patients(78 limbs) with primary varicose veins admitted to our department from September 2018 to August 2019 were divided into study group(43 cases) and control group(35 cases).The study group used RFITT ablation plus foam sclerosing agent injection and point ablation,and the control group used traditional high ligationplus foam sclerosing agent injection and point ablation.Operative time,bleeding volume,postoperative hospital stay,postoperative complications,varices recurrence rate,saphenous vein closure rate,venous clinical severity score(VCSS),chronic venous insufficiency questionnaire score(CIVIQ).
Results The operation time,blood loss and length of hospital stay of the study group were(48.6±10.1)min,(20.1±3.2)ml,(1.6±1.0)d respectively，compared with the control group(63.1±17.8) min,(65.4±9.8)ml,(5.2±1.7) d,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was 4.7%,which was significantly higher than 22.9% in the control group(P<0.05).The VCSS score of the study group before treatment was(4.3±0.2),after treatment(1.4±0.9),compared with the control group(4.6±0.1),(1.6±0.4),There was no significant difference(P>0.05).The CIVIQ score of the study group after treatment was(91.2± 10.8) was higher than(83.5 ±10.1),the difference was statistically significant(P<0.05).Six months follow-up showed that there was no recurrence of varicose veins in both groups,and the closure rate of great saphenous vein was 100%.
Conclusion RFITT ablation is safe and feasible for the treatment of varicose veins in the lower limbs.The operative time is short,the bleeding volume is small,the postoperative hospital stay is short,and the postoperative complications are small.The recent results are satisfactory.

Key words: great saphenous varices, radiofrequency-induced thermotherapy, foam sclerotherapy

孙振阳周芙增范坤坤董凤雷芮清峰. 射频感应温热疗法消融治疗下肢静脉曲张的近期疗效观察[J]. 临床外科杂志, 2022, 30(1): 86-88.

SUN Zhenyang, ZHOU Fuzeng, FAN Kunkun, et al.. Short-term clinical efficacy of radiofrequency-induced thermotherapy(RFITT) ablation for varicose veins of lower limbs[J]. JOURNAL OF CLINICAL SURGERY, 2022, 30(1): 86-88.

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