Clinical study on the effects of endovenous laser ablation and subfascial endoscopic perforator surgery in the treatment of lower limb varicose veins with pathological portal vein dysfunction
Objective To observe the clinical efficacy of endovenous laser ablation(EVLA)and endoscopic submucosal perforator surgery(SEPS)in the treatment of lower limb varicose veins with pathological perforating venous insufficiency.Method 83 patients with lower limb varicose veins accompanied by pathological perforating venous insufficiency treated in Dunhua City Hospital from April 2021 to March 2024 were selected and divided into EVLA group(n=42)and SEPS group(n=41)according to different treatment methods.Compare the surgical related indicators,pain level,stress response,and quality of life between two groups of patients.Result The surgical time,incision length,hospitalization time,and postoperative bed rest time of patients in the EVLA group were shorter than those in the SEPS group,and the intraoperative blood loss was less than that in the SEPS group,with significant differences(P＜0.05).There was no significant difference in the incidence of postoperative complications between the two groups of patients(P＞0.05).At 3,12,24,and 48 hours postoperatively,the NRS scores of patients in the EVLA group were significantly lower than those in the SEPS group(P＜0.05).Before surgery,there was no significant difference in cortisol and adrenaline levels between the two groups of patients(P＞0.05).Two days after surgery,the levels of cortisol and adrenaline in both groups of patients increased compared to preoperative levels,and the cortisol and adrenaline levels in the EVLA group were lower than those in the SEPS group,with significant differences(P＜0.05).Before surgery,there was no significant difference in CIVIQ scores between the two groups of patients(P＞0.05).Three months after surgery,the CIVIQ scores of both groups of patients increased compared to preoperative levels.The CIVIQ score of the EVLA group was higher than that of the SEPS group,and the difference was significant(P＜0.05).Conclusion For patients with lower limb varicose veins accompanied by pathological perforating dysfunction,EVLA and SEPS have similar effects in reducing the incidence of complications.However,EVLA can shorten the recovery time of patients,reduce stress reactions and body pain,and improve their quality of life.
Endovenous laser ablationSubfascial endoscopic perforator surgeryVaricose veins in the lower limbsPathological perforating venous insufficiencyPain levelStress response
万方数据
维普
