Comparison on the efficacy of ultrasound-guided radiofrequency endovenous obliteration and endovenous microwave ablation in the treatment of lower extremity varicose veins

GAO Ya-bin; WANG Ying-chun; MA Cong-cong; NIU Yu-feng; CHEN Shi-bin

doi:10.11659/jjssx.08E025080

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Comparison on the efficacy of ultrasound-guided radiofrequency endovenous obliteration and endovenous microwave ablation in the treatment of lower extremity varicose veins

Clinical Research | 更新时间：2026-04-20

- Comparison on the efficacy of ultrasound-guided radiofrequency endovenous obliteration and endovenous microwave ablation in the treatment of lower extremity varicose veins
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 4, Pages: 354-358(2026)
- 作者机构：
  
  1.河北中医药大学第二附属医院/河北省第七人民医院外二科，河北定州 073000
  2.河北中医药大学第二附属医院/河北省第七人民医院肺病科，河北定州 073000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.08E025080
  CLC： R654.4
- Received：21 August 2025，
  
  Published：25 April 2026
- 稿件说明：
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高亚宾,王迎春,马丛丛等.超声引导腔内射频闭合术与微波消融闭合术治疗下肢静脉曲张的效果比较[J].局解手术学杂志,2026,35(04):354-358.

GAO Ya-bin,WANG Ying-chun,MA Cong-cong,et al.Comparison on the efficacy of ultrasound-guided radiofrequency endovenous obliteration and endovenous microwave ablation in the treatment of lower extremity varicose veins[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):354-358.
高亚宾,王迎春,马丛丛等.超声引导腔内射频闭合术与微波消融闭合术治疗下肢静脉曲张的效果比较[J].局解手术学杂志,2026,35(04):354-358. DOI： 10.11659/jjssx.08E025080.

GAO Ya-bin,WANG Ying-chun,MA Cong-cong,et al.Comparison on the efficacy of ultrasound-guided radiofrequency endovenous obliteration and endovenous microwave ablation in the treatment of lower extremity varicose veins[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):354-358. DOI： 10.11659/jjssx.08E025080.

摘要

目的

比较超声引导腔内射频闭合术（RFO）与腔内微波消融闭合术（EMWA）治疗下肢静脉曲张的效果。

方法

回顾性选取本院收治的120例下肢静脉曲张患者，根据手术方式的不同分为RFO组和EMWA组，每组60例。RFO组患者采用超声引导RFO治疗，EMWA组患者采用超声引导EMWA治疗。比较2组患者的疗效、围术期指标、静脉临床严重程度评分（VCSS）、慢性静脉疾病生活质量量表（CIVIQ）、心率（HR）、经皮动脉血氧饱和度（SpO

）、平均动脉压（MAP）、基质金属蛋白酶-13（MMP-13）水平、肿瘤坏死因子-α（TNF-α）水平及并发症发生情况。

结果

2组患者总有效率比较，差异无统计学意义（

0.05）。EMWA组患者术中失血量低于RFO组（

0.05），住院时间短于RFO组（

0.05），手术时间及术后下床活动时间长于RFO组（

0.05）。2组患者术前及术后6个月的VCSS、CIVIQ评分比较，差异均无统计学意义（

0.05）。2组患者术后12 h的HR、SpO

、MAP比较，差异无统计学意义（

0.05）。2组患者术后7 d的MMP-13、TNF-α水平比较，差异无统计学意义（

0.05）。2组患者并发症总发生率比较，差异无统计学意义（

0.05）。

结论

超声引导RFO与EMWA治疗下肢静脉曲张的疗效相当，均可有效降低疾病严重程度、抑制机体炎症反应、改善患者生活质量，且安全性较高。EMWA术式在减少术中出血量、缩短住院时间方面表现更佳，而RFO术式则在缩短手术时间、加快患者术后早期活动方面更优，临床可根据患者的个体病情、身体状况及治疗需求合理选择术式。

Abstract

Objective

To compare the efficacy of ultrasound-guided radiofrequency endovenous obliteration （RFO） and endovenous microwave ablation （EMWA） in the treatment of lower extremity varicose veins.

Methods

A retrospective selection of 120 patients with lower extremity varicose veins admitted to our hospital was conducted， and they were divided into the RFO group and the EMWA group according to different surgical methods， with 60 cases in each group. Patients in the RFO group received ultrasound-guided RFO， while patients in the EMWA group received ultrasound-guided EMWA. The efficacy， perioperative indicators， venous clinical severity score （VCSS）， chronic venous insufficiency questionnaire （CIVIQ）， heart rate （HR）， percutaneous arterial oxygen saturation （SpO

）， mean arterial pressure （MAP）， matrix metallopeptidase-13 （MMP-13）， tumor necrosis factor-alpha （TNF-α）， and the incidence of complications were compared between the two groups.

Results

There was no statistically significant difference in the total effective rate between the two groups of patients （

0.05）. Patients in the EMWA group had lower intraoperative blood loss （

0.05）， shorter hospital stay （

0.05）， and longer operation time and postoperative ambulation time compared to the RFO group （

0.05）. There was no statistically significant difference in VCSS or CIVIQ scores before surgery and 6 months after surgery between the two groups of patients （

0.05）. There was no statistically significant difference in HR， SpO

， or MAP 1

2 hours after surgery between the two groups of patients （

0.05）. There was no statistically significant difference in MMP-13 level or TNF-α level 7 days after surgery between the two groups of patients （

0.05）. There was no statistically significant difference in the total incidence of complications between the two groups of patients （

0.05）.

Conclusion

The efficacy of ultrasound-guided RFO and EMWA is comparable in the treatment of lower extremity varicose veins. Both can effectively reduce disease severity， inhibit systemic inflammatory response， improve patients' quality of life， and demonstrate high safety. EMWA is superior in reducing intraoperative blood loss and shortening hospital stay， while RFO is superior in shortening operative time and accelerating early postoperative activity. Clinically， the surgical procedure can be reasonably selected based on the patient's individual disease status， physical condition， and treatment needs.

关键词

Keywords

references

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