Department of General Surgery, First People's Hospital affiliated to Shanghai Jiaotong University, Shanghai, China.
Eur Rev Med Pharmacol Sci. 2012 Jul;16(7):873-7.
Endo-venous laser or microwave ablation is a minimally invasive surgery for treating varicose veins of lower limbs.
The aim of our study was to determine whether endovenous microwave ablation of the greater saphenous vein was associated with better effectiveness and less complications than the endovenous laser ablation.
From July 2008 to June 2011, 259 cases (306 limbs) of varicose veins were assigned to endovenous laser ablation (n=138, 163 limbs) or endovenous microwave ablation (n=121, 143 limbs).
Through analysis there was no significant difference of the operating time, length of hospital stay and Aberdeen score in the two groups. The recanalization rate was statistically higher in the laser group than that in the microwave group. The ecchymosis complication was significantly lower in microwave ablation than that of laser ablation group. However, the skin burn and paralysis complications were significantly lower in the laser ablation than that of microwave ablation group.
Endo-venous microwave ablation is an effective alternative to laser ablation for treatment of varicose veins, associated with higher occlusion rate and without serious complications.
静脉内激光或微波消融术是治疗下肢静脉曲张的一种微创外科手术。
我们的研究旨在确定大隐静脉的静脉内微波消融术是否比静脉内激光消融术具有更好的疗效和更少的并发症。
2008 年 7 月至 2011 年 6 月，259 例（306 条肢体）静脉曲张患者被分为静脉内激光消融组（n=138，163 条肢体）或静脉内微波消融组（n=121，143 条肢体）。
通过分析，两组的手术时间、住院时间和阿伯丁评分无显著差异。激光组的再通率明显高于微波组。微波消融组的瘀斑并发症明显低于激光消融组。然而，激光消融组的皮肤烧伤和瘫痪并发症明显低于微波消融组。
静脉内微波消融术是治疗静脉曲张的一种有效替代激光消融术的方法，其闭塞率较高，无严重并发症。
