Effects of endovenous radiofrequency ablation in treatment of patients with varicose great saphenous veins
Objective:To observe effects of endovenous radiofrequency ablation in treatment of patients with varicose great saphenous veins.Methods:A prospective study was conducted on 136 patients with varicose great saphenous veins admitted to the hospital from June 2020 to October 2023.According to the random number table method,they were divided into control group and study group,68 cases in each group.The control group was treated with high ligation of great saphenous vein combined with stripping,while the study group was treated with endovenous radiofrequency ablation.The clinical efficacy,the perioperative indexes(intraoperative blood loss,postoperative subcutaneous congestion area,first out-of-bed time,operation time and hospitalization time),the oxidative stress indexes[epinephrine(E),cortisol(Cor)]levels before and after the surgery,the incidence of complications,and the recurrence rate were compared between the two groups.Results:The total effective rate of the study group was 93.48%(65/68),which was higher than that of the control group 77.78%(58/68),and the difference was statistically significant(P<0.05).The intraoperative blood loss and the postoperative subcutaneous congestion area in the study group were less than those in the control group;the first out-of-bed time,the operation time and the hospitalization time were shorter than those in the control group;and the differences were statistically significant(P<0.05).3 days after the surgery,the levels of E and Cor in the two groups were higher than those before the surgery,but those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications and recurrence rate in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Endovenous radiofrequency ablation in the treatment of the patients with varicose great saphenous veins can improve the clinical efficacy,improve the levels of perioperative indexes,reduce the body's oxidative stress response,and reduce the incidence of complications and the recurrence rate.Moreover,it is superior to high ligation combined with stripping.
Endovenous radiofrequency ablationHigh ligationVaricose great saphenous veinsOxidative stressRecurrence rateComplication
万方数据
维普
