Bozoglan Orhan, Mese Bulent, Eroglu Erdinc, Erdogan Mustafa Bilge, Erdem Kemalettin, Ekerbicer Hasan Cetin, Yasim Alptekin
Department of Cardiovascular Surgery, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
Department of Cardiovascular Surgery, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Vasc Endovascular Surg. 2016 Jan;50(1):47-51. doi: 10.1177/1538574415625813. Epub 2016 Jan 14.
To compare endovenous laser ablation (EVLA) and radiofrequency venous ablation (RFA) in different legs in the same patients with venous insufficiency.
Sixty patients with bilateral saphenous vein insufficiency were included. Endovenous laser ablation or RFA was applied to one of the patient's legs and the remaining procedure, RFA or EVLA, to the other leg.
Minor complications in EVLA and RFA were hyperemia at 20.7% and 31.0%, ecchymosis at 31.0% and 51.7% and edema at 27.6% and 65.5%, respectively. The rate of recanalization was 6.8% in the RFA group. No recanalization was observed in the EVLA group. The level of patients satisfied with EVLA was 51.7%, compared to 31.0% for RFA, while 17.2% of patients were satisfied with both the procedures. Times to return to daily activity were 0.9 days in the EVLA group and 1.3 days in the RFA group.
The EVLA procedure may be superior to RFA in certain respects.
比较静脉腔内激光消融术（EVLA）和射频静脉消融术（RFA）在患有静脉功能不全的同一患者不同腿部的应用效果。
纳入60例双侧大隐静脉功能不全的患者。对患者的一条腿进行静脉腔内激光消融术或射频静脉消融术，另一条腿进行剩余的手术，即射频静脉消融术或静脉腔内激光消融术。
静脉腔内激光消融术和射频静脉消融术的轻微并发症分别为：充血发生率为20.7%和31.0%，瘀斑发生率为31.0%和51.7%，水肿发生率为27.6%和65.5%。射频静脉消融术组的再通率为6.8%。静脉腔内激光消融术组未观察到再通情况。对静脉腔内激光消融术满意的患者比例为51.7%，而对射频静脉消融术满意的患者比例为31.0%，同时17.2%的患者对两种手术都满意。静脉腔内激光消融术组恢复日常活动的时间为0.9天，射频静脉消融术组为1.3天。
静脉腔内激光消融术在某些方面可能优于射频静脉消融术。
