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目的:探讨腔内射频闭合联合点式剥脱术治疗下肢慢性静脉功能不全的安全性和有效性。方法:将40例下肢慢性静脉功能不全患者随机分成两组:射频组(20例)行大隐静脉腔内射频闭合联合曲张静脉点式剥脱术,对照组(20例)行大隐静脉高位结扎抽剥术加曲张静脉点式剥脱术。比较两组疗效、手术时间、SF-36生活质量量表评分、疼痛评分、住院时间、住院费用以及并发症的发生等情况。结果:两组1年后疗效相当,射频组在手术时间、生活质量评分、疼痛评分、住院时间等方面有明显统计学优势;对照组在住院费用方面有明显统计学优势。结论:腔内射频闭合联合点式剥脱术治疗单纯大隐静脉慢性功能不全疗效确切,安全性好,患者可获得较高的生活质量和舒适度,但费用较昂贵。
Objective: To investigate the safety and efficacy of endoscopic radiofrequency closure combined with point-by-point ablation in the treatment of chronic venous insufficiency of the lower extremities. Methods: Forty patients with chronic venous insufficiency of the lower extremities were randomly divided into two groups: radiofrequency group (20 cases) undergoing saphenous vein radiofrequency closure combined with varicose vein dissection, control group (20 cases) Squirting plus varicose veins point stripping surgery. The curative effect, operation time, SF-36 quality of life scale, pain score, length of stay, cost of hospitalization and complication were compared between the two groups. Results: After 1 year, the two groups had the same curative effect. The radiofrequency group had obvious statistical advantages in terms of operation time, quality of life score, pain score and hospitalization time. The control group had obvious statistical advantages in hospitalization cost. CONCLUSION: Endovascular closure combined with point-on-point ablation is effective and safe for the treatment of simple saphenous vein chronic insufficiency. Patients can get higher quality of life and comfort, but the cost is more expensive.