复发性静脉的管理:重新开放的手术与内血管方法相比
Vincenzo Ardita1, Nicola Galati1, Sarah Tinaglia1
1Vascular Surgery, Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Milan, Italy.
Phlebology
|September 10, 2025
概括
超声引导泡硬化疗法 (UGFS) 提供了一种安全有效的替代方案,用于手术后治疗复发性静脉 (RVV). 与重复开放手术相比,这种微创方法提供了较短的手术时间和更快的恢复,具有类似的长期结果.
科学领域:
- 血管外科 血管外科
- 最少侵入性手术的方法
- 硬化疗法 硬化疗法
背景情况:
- 开放性手术后的复发性静脉 (RVVs) 带来了治疗挑战.
- 重开手术 (rOS) 存在风险,需要替代治疗.
- 复发性静脉 (C2r) 需要有效的管理策略.
研究的目的:
- 为了比较超声引导泡硬化疗法 (UGFS) 与C2r重复开放手术 (rOS) 的安全性和有效性.
- 评估UGFS作为复发性静脉的rOS的微创替代方案.
主要方法:
- 133名患有症状C2r (2018-2020) 的患者的回顾性审查.
- 组A (91名患者):基于UGFS的微创治疗.
- B组 (42名患者):重新开放手术 (rOS).
- 使用CEAP和rVCSS评估临床结果;随访时间长达3年.
主要成果:
- 与rOS (p < .001) 相比,UGFS的手术时间 (21 vs 47分钟) 和住院时间 (3 vs 16小时) 显著缩短 (p < .001).
- 两组都取得了高的技术成功率.
- 三年无复发率为UGFS的88.9%,rOS的87.8% (p = .85). 三年无复发率为UGFS的88.9%,rOS的87.8%.
- 三年无需再干预的时间为UGFS的90.9%,rOS的88.5% (p = .89).
结论:
- 对于C2r,UGFS是一种安全有效的rOS替代方案.
- UGFS提供了更短的程序时间和更快的恢复的优势.
- 类似的中期结果支持UGFS作为C2r患者寻求缩短康复期的可行选择.
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