Efficacy Analysis Of Endovenous Radiofrequency Ablation + Sclerosing Agent Injection + Superficial Vein Punctate Stripping In The Treatment Of Great Saphenous Varices

Objective: Objective to verify the clinical effect of endovenous radiofrequency ablation + sclerotherapy + superficial vein punctate stripping in the treatment of great saphenous vein varicose by retrospective study and analysis of the observation indexes of endovenous radiofrequency ablation + sclerotherapy injection + superficial vein punctate stripping and high ligation of great saphenous vein + varicose stripping.Methods: Methods a total of 108 patients(133 limbs)with great saphenous varicose veins who met the inclusion and exclusion criteria in the Department of interventional and vascular surgery,people’s Hospital of Ningxia Hui Autonomous Region from October 2019 to October 2020 were retrospectively collected.According to the number of affected limbs,the patients were divided into single lower limb group and double lower limb group.The single lower limb group and the double lower limb group were further divided into the experimental group and the control group according to the different operation methods.The experimental group was treated with RFA + sclerosing agent injection + superficial vein punctate stripping;The control group was treated with high ligation of great saphenous vein and varicose vein stripping;The operation time(min),postoperative hospital stay(d),postoperative 24 h VAPS score,preoperative and postoperative 1 month VCSS and CIVIQ score,recurrence rate and incidence of postoperative complications were statistically analyzed.Results: The operation time of the single leg experimental group was(97.98 ± 25.84)min,which was less than(111.85 ± 30.14)min of the control group;the postoperative hospital stay of the single leg experimental group was 5.00(1.25)d,which was less than 8.00(1.50)d of the control group;the VAPS pain score of the single leg experimental group on the first day after operation was2.00(1.00),which was less than4.00(1.00)of the control group The operation time was(149.73 ± 42.46)min,which was less than(197.85 ± 35.01)min in the control group,the postoperative hospital stay in the experimental group was 4.00(2.00)d,which was less than7.50(2.25)d in the control group,and the VAPS pain score on the first day after operation in the experimental group was 2.00(1.00)which was less than 5.00(2.25)in the control group.The above results were all less than 0.05,and the difference was statistically significant Righteousness.Based on the above results,we can conclude that the observation results of the experimental group are better than those of the control group in operation time(min),postoperative hospital stay(d)and postoperative 24 h VAPS pain score,whether in the single leg group or the double leg group.One month after operation,the VCSS score and CIVIQ score of the experimental group were lower than those of the control group,and the CIVIQ score of the experimental group was higher than that of the control group,P < 0.05.The differences were statistically significant.So we can think that the experimental group was better than the control group in VCSS and CIVIQ score.There were 3 cases of postoperative complications in the single lower limb experimental group,and 2 cases of complications were subcutaneous ecchymosis,1 case of lower limb skin sensory disorder;while there were 3 cases of complications in the control group,1 case of subcutaneous ecchymosis,1 case of incision bleeding(groin area),1 case of lower limb skin sensory disorder;while there were no postoperative complications in the double lower limb experimental group,2 cases in the control group There were 1 case of subcutaneous ecchymosis and 1 case of sensory disturbance of lower limb skin;no deep vein thrombosis,hematoma formation,incision infection and other complications were found in the rest samples.After statistical test,there was no significant difference in the incidence of postoperative complications between the two groups(P = 0.622,P = 0.487).During the follow-up period of 6 months after operation,one case of recurrence was found in the experimental group of single lower limb,and partial superficial venous vermiform eminence was found in the leg of the affected limb 2 months after operation,while no recurrence was found in the other groups.Conclusion: For the surgical treatment of varicose great saphenous vein,the traditional high ligation of great saphenous vein + variceal stripping has been verified for many years,its curative effect is exact,and the surgical method is relatively perfect;But it is undeniable that it has the disadvantages of great trauma,long postoperative recovery time and obvious postoperative pain.With the development of various minimally invasive techniques and equipment,various minimally invasive surgery methods emerge as the times require.Among them,intracavitary radiofrequency ablation + sclerotherapy injection + superficial vein punctate stripping has exact curative effect.Compared with traditional surgery,it has the advantages of small surgical trauma,fast postoperative recovery,no obvious pain,less psychological burden of patients,and is easier to accept,It is expected to be used as a new surgical method in clinic.