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电凝与射频热消化治疗静脉的长期结果

Fábio Henrique Rossi¹, Camila Baumann Beteli¹, Miguel Monteiro Tannus¹

¹Dante Pazzanese Cardiovascular Institute, São Paulo, Brazil.

Journal of vascular surgery. Venous and lymphatic disorders

|April 10, 2025

概括

静脉静脉的电凝切除 (EA) 与射频切除 (RFA) 相比,显示出优异的长期大沙静脉 (GSV) 封闭. 这两种方法都提供了可比的安全性和生活质量的改善.

科学领域:

血管外科血管外科
最少侵入性手术的方法
弗莱博学 (Phlebology) 是一种神经病学.

背景情况:

热移动是一种日益增长的替代原发性静脉传统手术.
电凝消耗 (EA) 和射频消耗 (RFA) 是已知的热消耗技术.
长期数据比较EA和RFA对于大沙静脉 (GSV) 移除是有限的.

研究的目的:

评价电凝切除 (EA) 与射频切除 (RFA) 在治疗大沙静脉 (GSV) 无能症的长期有效性和安全性.
为了在延长的随访期内比较EA和RFA之间的GSV封闭率,并发症发生率和生活质量结果.

主要方法:

一个双盲,随机的临床试验,长期随访.
患有下肢静脉和GSV无能症的患者被随机分配到EA或RFA.
通过双重超声来评估GSV封闭和阿伯丁静脉静脉问卷来评估生活质量的结果.

主要成果:

在短期随访 (1周,3个月,6个月) 中,没有观察到阻塞,并发症或生活质量的显著差异.
经过4.8年的中位数后,EA的GSV封闭率 (89.7%) 与RFA (66.7%) 相比显著更高 (P = .001).
在长期分析中,EA和RFA之间没有发现并发症率或生活质量得分的显著差异.

结论:

电凝切除 (EA) 是有效和安全的GSV切除.
与射频切除 (RFA) 相比,EA实现了较高的长期静脉封闭率.
EA和RFA都提供了可比的长期安全概况和改善患者生活质量的改善.

关键词:

废弃的技术废弃的技术导管切除导管切除导管切除导管切除电凝器是电凝的方法之一.无线电频率剥离法无线电频率剥离法治疗方法治疗方法静脉静脉多动的情况

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