Bozoglan Orhan, Mese Bulent, Eroglu Erdinc, Ekerbiçer Hasan Cetin, Yasim Alptekin
Kahramanmaras Sutcu Imam University, Faculty of Medicine, Departments of Cardiovascular Surgery, Turkey.
Sakarya University, Faculty of Medicine, Departments of Public Health, Turkey.
J Lasers Med Sci. 2017 Winter;8(1):13-16. doi: 10.15171/jlms.2017.03. Epub 2017 Jan 8.
To compare endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) in different legs in the same individual in patients with venous insufficiency. Sixty patients with bilateral saphenous vein insufficiency were included. EVLA or RFA was applied to one of the patient's legs and RFA or EVLA to the other leg. EVLA and RFA complications 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 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 procedures. Times to return to daily activity were 0.9 days in the EVLA group and 1.3 days in the RFA group. EVLA procedure may be superior to RFA in certain respects.
比较静脉内激光消融术（EVLA）和射频消融术（RFA）在静脉功能不全患者同一人的不同腿部的疗效。纳入60例双侧大隐静脉功能不全患者。对患者的一条腿进行EVLA或RFA治疗，另一条腿进行RFA或EVLA治疗。EVLA和RFA的并发症发生率分别为：充血20.7%和31.0%，瘀斑31.0%和51.7%，水肿27.6%和65.5%。RFA组的再通率为6.8%。EVLA组未观察到再通情况。对EVLA满意的患者比例为51.7%，对RFA满意的患者比例为31.0%，而17.2%的患者对两种治疗方法均满意。EVLA组恢复日常活动的时间为0.9天，RFA组为1.3天。在某些方面，EVLA治疗可能优于RFA。
