Shepherd Amanda C, Gohel Manj S, Lim Chung S, Hamish Maher, Davies Alun H
Imperial Vascular Unit, Imperial College, Charing Cross Hospital, London, United Kingdom.
Vasc Endovascular Surg. 2010 Apr;44(3):212-6. doi: 10.1177/1538574409359337. Epub 2010 Feb 11.
The aim of this study was to evaluate postoperative pain following endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) and identify risk factors for increased pain.
Patients undergoing either segmental RFA (VNUS Closure Fast, VNUS Medical Technologies, San Jose, California) or EVLA (980 nm) for varicose veins completed a preoperative disease-specific quality-of-life questionnaire (Aberdeen Varicose Vein Questionnaire [AVVQ]) and a diary card recording postoperative pain, return to normal activities, and return to work. Median 3- and 10-day pain scores were calculated.
In all, 81 patients returned diary cards (RFA = 45, EVLA = 36). Patients receiving RFA reported less postoperative pain than those receiving EVLA at 3 days (14.5 vs 25.8 mm, P = .053, Mann-Whitney U test) and 10 days (13 vs 23.3 mm, P = .014, Mann-Whitney U test) and returned to work earlier than those receiving EVLA (median 5 vs 9 days, P = .022).
Patients treated with segmental RFA had less postoperative pain and returned to work quicker than those treated with EVLA.
本研究旨在评估静脉腔内激光消融术（EVLA）和射频消融术（RFA）后的术后疼痛情况，并确定疼痛加剧的风险因素。
接受分段RFA（VNUS闭合快速系统，VNUS医疗技术公司，加利福尼亚州圣何塞）或EVLA（980纳米）治疗静脉曲张的患者完成了术前特定疾病生活质量问卷（阿伯丁静脉曲张问卷[AVVQ]）以及记录术后疼痛、恢复正常活动和恢复工作情况的日记卡。计算了术后第3天和第10天的疼痛评分中位数。
共有81名患者返回了日记卡（RFA组45名，EVLA组36名）。接受RFA治疗的患者在术后第3天（14.5对25.8毫米，P = 0.053，曼-惠特尼U检验）和第10天（13对23.3毫米，P = 0.014，曼-惠特尼U检验）报告的术后疼痛少于接受EVLA治疗的患者，且比接受EVLA治疗的患者更早恢复工作（中位数5天对9天，P = 0.022）。
接受分段RFA治疗的患者术后疼痛较少，且比接受EVLA治疗的患者更快恢复工作。
