Ontas Hakan, Yavuz Turhan, Acar Altay Nihat, Uysal Dinçer
Ann Ital Chir. 2019;90:457-462.
Superficial venous insufficiency is a common problem associated with varicose veins. In addition to classical symptoms, it may result in skin changes, venous ulcers and has a great impact on patients' health-related quality of life. In the last decade, minimally invasive techniques such as endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) have been developed as alternatives to surgery in an attempt to reduce morbidity and improve efficiency. The aim of this study is to evaluate the efficacy of EVLA and RF therapies in superficial venous insufficiency.
Fifty legs belonging to 50 patients with symptomatic primary venous insufficiency were treated. 25 saphenous veins treated with 1470 nmdiode laser, while 25, saphenous veins treated with bipolar Radiofrequency Induced Thermotherapy (RF). All patients underwent postoperative duplex scanning within 6 month after the procedure and followed clinically, to determine the severity of the venous disease. Complications and occlusion rates were recorded.
Total occlusion rates in RF and EVLA groups were 100% and was 100%, respectively. There was no significant difference between groups (p=0,140). Major complications such as skin burns, deep venous thrombosis have not been detected for both groups. 2 patients treated with EVLA had erythema (8%) and 1 patient had a pain sensation (4%). 1 patient in the RF group had erythema (4%), 1 had pain (4%) and 1 had a burning sensation (4%).
EVLA and RF therapies in saphenous vein insufficiency are effective, minimally invasive, safe, easy to use treatment modalities with good patient satisfaction and high occlusion rates.
EVLA, Radiofrquency, Venous insufficiency.
浅静脉功能不全是与静脉曲张相关的常见问题。除了典型症状外，它还可能导致皮肤改变、静脉溃疡，并对患者的健康相关生活质量产生重大影响。在过去十年中，诸如腔内激光消融术（EVLA）和射频消融术（RFA）等微创技术已被开发出来作为手术的替代方法，以试图降低发病率并提高效率。本研究的目的是评估EVLA和射频治疗在浅静脉功能不全中的疗效。
对50例有症状的原发性静脉功能不全患者的50条腿进行治疗。25条大隐静脉用1470纳米二极管激光治疗，而另外25条大隐静脉用双极射频诱导热疗（RF）治疗。所有患者在术后6个月内接受双功超声扫描，并进行临床随访，以确定静脉疾病的严重程度。记录并发症和闭塞率。
射频组和腔内激光消融术组的总闭塞率分别为100%和100%。两组之间无显著差异（p = 0.140）。两组均未检测到皮肤烧伤、深静脉血栓形成等主要并发症。接受腔内激光消融术治疗的2例患者出现红斑（8%），1例患者有疼痛感（4%）。射频组1例患者出现红斑（4%），1例有疼痛（4%），1例有烧灼感（4%）。
腔内激光消融术和射频治疗大隐静脉功能不全是有效、微创、安全、易于使用的治疗方式，患者满意度高，闭塞率高。
腔内激光消融术；射频；静脉功能不全
