射频剥离和高带剥离用于静脉的比较:回顾性分析
Caijuan Geng1, Yu Xie1, Lifeng Zhang1
1Department of Vascular Surgery, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Annals of vascular surgery
|July 24, 2025
概括
与泡硬化疗法相结合的超声波导向射频剥离 (RFA) 与高结和剥离 (HLS) 相比,减少了轻微并发症和改善了早期生活质量. 这两种方法都显示出良好的长期疗效,用于治疗静脉.
科学领域:
- 血管外科 血管外科
- 最少侵入性手术的方法
- 患者的治疗结果.
背景情况:
- 静脉静脉治疗涉及比较临床疗效,并发症和生活质量 (QoL).
- 使用泡硬化疗法进行超声波导向的射频剥离 (RFA) 与高结合和剥离 (HLS) 相比较.
- 这两种手术都结合了支流叶切除术.
研究的目的:
- 为了比较RFA加泡硬化疗法与HLS的临床疗效.
- 评估术后并发症和生活质量 (QoL) 的结果.
- 为了评估治疗后的疾病严重程度和复发率.
主要方法:
- 对2,740名患者的回顾性分析 (2020年10月至2023年10月).
- 1756名患者接受了RFA,984人接受了HLS.
- 评估的结果包括成功率,重新道化,复发,重新干预,并发症,AVVQ,CIVIQ-14和VCSS在1,6和12个月的得分.
主要成果:
- 无论是RFA还是HLS都取得了立即的成功,其12个月再通道化和复发率很低.
- HLS的伤,疼痛和麻木率更高;RFA的硬化和色素化率更高.
- 两组都显示出显著的QOL和疾病严重程度的改善,而RFA显示出更快的早期改善.
结论:
- 超声导向的RFA与泡硬化疗法减少了轻微的并发症,并改善了早期的QoL,但增加了硬化和色素的风险.
- 无论是RFA还是HLS,都能为低复发率的静脉提供有效的长期治疗.
- 建议根据患者需求进行个性化治疗选择.
更多相关视频
相关概念视频
Varicose Veins II: Diagnostic Studies and Interprofessional Care
31
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
31
Varicose Veins I: Introduction
26
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
26
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
37
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
37
Esophageal Varices-II: Clinical Features and Management
144
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
144
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
584
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
584
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22


