Comparison Of The Efficacy Of Radiofrequency And Laser Ablation In The Treatment Of Varicose Veins

Objective Varicose veins are a common clinical disease.Traditional surgery is still the classic surgery to treat the disease.Thanks to the development of science and technology and the transformation of modern treatment concepts,many minimally invasive techniques have emerged in clinical practice,among which the intracavitary thermal ablation technique has a good effect in treating the disease.This study compared the curative effect of radiofrequency ablation and laser ablation through clinical case analysis,and summarized the pros and cons of the two minimally invasive techniques and the treatment strategies for complications.Methods(1)Based on diagnostic criteria、inclusion criteria and removal criteria,a total of patients with great saphenous vein surgically treated in the Department of Vascular Surgery of Shenzhen Second People’s Hospital(May 2020 to November 2020)were collected.The clinical data of 99 people(99 affected limbs)were divided into radiofrequency group and laser group according to the operation method.The radio frequency group(radiofrequency ablation of saphenous vein + foam sclerosing agent injection + point exfoliation)totals 47 people(47 affected limbs),laser group(high ligation of great saphenous vein + main laser ablation + foam sclerosing agent injection + point stripping)a total of 52 people(52 affected limbs).Through the operetion time,intraoperative blood loss,the pain score of after the operation,the treatment time,the complications(skin ecchymosis,subcutaneous hematoma,thrombophlebitis,paresthesia in the ankle area,and deep vein thrombosis of the lower extremities)and compare the closure of the great saphenous vein to evaluate the efficacy and complications of patients.(2)Through statistical methods,the curative effects of the two groups were compared,so as to summarize the advantages and disadvantages of radiofrequency ablation and laser ablation in the treatment of varicose veins,intraoperative precautions,and discuss the management strategies of complications,and provide references for clinical treatment of varicose veins.Result(1)There was no significant difference in age,gender,affected side,great saphenous vein diameter,and CEAP grading between the radiofrequency group and the laser group(p>0.05),and they were comparable;(2)There was no significant difference in intraoperative blood loss,operation time,the pain score of 24 hours after the operation,treatment time,postoperative complications(skin ecchymosis,subcutaneous hematoma,thrombophlebitis,paresthesia in the ankle area,and deep vein thrombosis of the lower extremities)and postoperative great saphenous vein occlusion between the radiofrequency group and the laser group(p>0.05),and they were comparable.Conclusions(1)Radiofrequency ablation and laser ablation had definite short-term curative effects and equivalent curative effects.They had the advantages of fewer incisions,faster recovery,and fewer complications,but the later recovery need further follow-up.(2)In this study,radiofrequency ablation has less postoperative pain and fewer complications than laser ablation,but the difference between the two groupswere not significant.(3)In this study,the radiofrequency group and the laser group had similar curative effects,but the radiofrequency group did not require high ligation of the saphenous vein,which was more minimally invasive.(4)Intracavitary technology needs further research to investigate whether the saphenous nerve will be damaged by ablation of the great saphenous vein below the knee.