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大隐静脉功能不全的1940纳米静脉腔内激光消融与射频消融短期疗效比较

Comparison of Short-Term Outcomes Between Endovenous 1,940-nm Laser Ablation and Radiofrequency Ablation for Incompetent Saphenous Veins.

作者信息

Park Insoo, Park Sun-Cheol

机构信息

Charm Vascular Clinic, Seoul, South Korea.

Division of Vascular and Transplant Surgery, Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

出版信息

Front Surg. 2020 Dec 11;7:620034. doi: 10.3389/fsurg.2020.620034. eCollection 2020.

DOI:10.3389/fsurg.2020.620034
PMID:33363201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7759544/
Abstract

Radiofrequency ablation (RFA) has shown faster recovery and lower pain scores compared to Endovenous laser ablation (EVLA) for treatment of varicose veins. However, a comparison of 1,940-nm EVLA and RFA has not been reported. This study compared short-term outcomes using 1,940-nm EVLA and RFA for varicose veins. Between April 2018 and June 2018, 43 patients (83 incompetent saphenous veins) were treated with 1,940-nm EVLA and 37 patients (64 incompetent saphenous veins) with RFA. Follow-up duplex was checked at 1 month and 3 months. Baseline characteristics showed no significant differences between both groups except for age. Pain scores at 6 h, and at 1, 10, and 30 days after treatment showed no differences. Complications and time to return to normal activity showed no differences. The 100% closure rate was checked in both groups at 1 month and 3 months follow-up. Short-term outcomes showed no significant differences between 1,940-nm EVLA and RFA treatment.

摘要

与静脉腔内激光消融术(EVLA)相比,射频消融术(RFA)在治疗静脉曲张方面显示出更快的恢复速度和更低的疼痛评分。然而,尚未有关于1940纳米EVLA与RFA对比的报道。本研究比较了使用1940纳米EVLA和RFA治疗静脉曲张的短期疗效。在2018年4月至2018年6月期间,43例患者(83条隐静脉功能不全)接受了1940纳米EVLA治疗,37例患者(64条隐静脉功能不全)接受了RFA治疗。在1个月和3个月时进行随访双功超声检查。除年龄外,两组的基线特征无显著差异。治疗后6小时、1天、10天和30天的疼痛评分无差异。并发症和恢复正常活动的时间无差异。在1个月和3个月随访时检查两组的100%闭合率。短期疗效显示,1940纳米EVLA和RFA治疗之间无显著差异。

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本文引用的文献

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Prospective comparative cohort study evaluating incompetent great saphenous vein closure using radiofrequency-powered segmental ablation or 1470-nm endovenous laser ablation with radial-tip fibers (Varico 2 study).前瞻性对比队列研究评估射频分段消融或 1470nm 腔内激光消融联合放射状光纤治疗大隐静脉反流(Varico 2 研究)。
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