腔内射频消融术联合超声引导下泡沫硬化剂治疗非血栓性下肢静脉性溃疡

李志刚; 孙默; 王吉阳; 何楠; 李拥军

doi:10.11659/jjssx.09E022091

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腔内射频消融术联合超声引导下泡沫硬化剂治疗非血栓性下肢静脉性溃疡

临床研究 | 更新时间：2023-06-13

- 腔内射频消融术联合超声引导下泡沫硬化剂治疗非血栓性下肢静脉性溃疡
- Endovascular radiofrequency ablation combined with ultrasound-guided foam sclerotherapy for treatment of non-thrombotic venous ulcer of lower extremities
- 局解手术学杂志 2023年32卷第6期页码：528-531
- 作者机构：
  
  1.北京中医药大学附属护国寺中医医院血管外科,北京 100035
  2.北京中医药大学附属护国寺中医医院老年病科,北京 100035
  3.北京医院血管外科,北京 100730
  4.首都医科大学附属北京安贞医院血管外科，北京 100029
- 作者简介：
  
  李拥军，E-mail：liyongjun4679@bjhmoh.xn
- 基金信息：
  
  吴阶平医学基金(320.6750.19089-36)
- DOI：10.11659/jjssx.09E022091
  中图分类号： R654.4
- 纸质出版日期：2023-06-25，
  
  收稿日期：2022-09-16，
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李志刚,孙默,王吉阳等.腔内射频消融术联合超声引导下泡沫硬化剂治疗非血栓性下肢静脉性溃疡[J].局解手术学杂志,2023,32(06):528-531.

LI Zhi-gang,SUN Mo,WANG Ji-yang,et al.Endovascular radiofrequency ablation combined with ultrasound-guided foam sclerotherapy for treatment of non-thrombotic venous ulcer of lower extremities[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(06):528-531.
李志刚,孙默,王吉阳等.腔内射频消融术联合超声引导下泡沫硬化剂治疗非血栓性下肢静脉性溃疡[J].局解手术学杂志,2023,32(06):528-531. DOI： 10.11659/jjssx.09E022091.

LI Zhi-gang,SUN Mo,WANG Ji-yang,et al.Endovascular radiofrequency ablation combined with ultrasound-guided foam sclerotherapy for treatment of non-thrombotic venous ulcer of lower extremities[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(06):528-531. DOI： 10.11659/jjssx.09E022091.

摘要

目的

探讨腔内射频消融术（RFA）联合超声引导下泡沫硬化剂注射（UGFS）治疗非血栓性下肢静脉性溃疡的疗效。

方法

回顾性分析135例（患肢152条）经RFA联合UGFS或RFA联合点式剥脱治疗的非血栓性下肢静脉性溃疡患者的临床资料，其中RFA联合UGFS组的患者61例（68条患肢），RFA联合点式剥脱组的患者74例（84条患肢）。比较2组患者手术时间、住院时间、手术前后溃疡愈合情况、静脉临床严重程度评分(VCSS)、视觉模拟量表(VAS)评分及术后并发症等指标。

结果

2组患者手术时间、住院时间比较差异有统计学意义（

0.05）。2组患者术后1个月、3个月溃疡愈合情况比较，差异无统计学意义（

0.05）；2组患者术前和术后1个月、3个月VCSS评分比较，差异均无统计学意义（

0.05）；2组患者术后1个月、3个月VAS评分比较差异均有统计学意义（

0.05）。2组患者并发症发生率比较差异有统计学意义（

0.05）。

结论

两种方式对溃疡愈合的疗效相当，但RFA联合UGFS具有手术创伤更小、住院时间短、恢复快、并发症少等优点。

Abstract

Objective

To explore the efficacy of endovascular radiofrequency ablation （RFA） combined with ultrasound-guided foam sclerotherapy （UGFS） in the treatment of non-thrombotic venous ulcer of lower extremities.

Methods

The clinical data of 135 patients （152 affected limbs） with non-thrombotic venous ulcer of lower extremities treated with RFA combined with UGFS or RFA combined with point stripping were retrospectively analyzed. Among them， 61 patients （68 affected limbs） were included in the RFA combined with UGFS group and 74 patients （84 affected limbs） were included in the RFA combined with point stripping group. The operation time， hospital stay， ulcer healing before and after operation， venous clinical severity score （VCSS）， visual analogue scale （VAS） score and postoperative complications of the two groups were compared.

Results

There were statistically significant differences in the operation time and hospital stay of patients between the two groups （

0.05）. There was no statistically significant difference in the ulcer healing of patients 1 and

3 months after operation between the two groups （

0.05）. There was no statistically significant difference in the VCSS scores of patients before operation and 1 and 3 months after operation between the two groups （

0.05）. There were statistically significant differences in the VAS scores of patients 1 and 3 months after operation between the two groups （

0.05）. There was a statistically significant difference in the incidence of complications between the two groups （

0.05）.

Conclusion

The two methods have similar efficacy for ulcer healing， but RFA combined with UGFS has the advantages of less surgical trauma，shorter hospital stay，faster recovery，and fewer complications.

关键词

射频消融术静脉性溃疡静脉曲张泡沫硬化剂注射点式剥脱

Keywords

radiofrequency ablationvenous ulcervaricose veinsfoam sclerotherapypoint stripping

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