Pannone Alfonso, Di Girolamo Alessia, Orrico Matteo, Mangialardi Nicola
Department of Vascular Surgery, Azienda Ospedaliera San Camillo-Forlanini, Circonvallazione Gianicolense 87, 00152 Rome, Italy.
Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00185 Rome, Italy.
Diagnostics (Basel). 2023 Jan 16;13(2):327. doi: 10.3390/diagnostics13020327.
RFA is a relatively new treatment, approved by the FDA in 1999 and is a minimally invasive intervention that has become one of the most common alternatives due to its many advantages, including decreased pain, less morbidity, shorter hospital stay and faster return to work. We retrospectively analyzed a total of 503 limbs submitted for surgical interventions for VVs using the RFA, combined or not with surgical phlebectomies and sclerotherapy, in our institution between April 2012 and December 2020. The technical success was 99.8%, as in one case the RFA catheter arrested at the first third of the thigh due to the tortuosity of the vessel. On the first post-operative day, the mean VAS scale was 0.32 ± 0.56 (0-2). Perioperative complications occurred in 77 cases (15.3%): intraoperative pain in 24 cases, in nine cases associated with vagal syndrome, superficial hematoma in 30 cases, EHIT in seven cases, phlebitis in 14 cases and paresthesia in two cases. RFA procedures had been shown to be cost-effective therapeutic options in adult patients requiring treatment due to the incompetence of the GSV. In our study, we highlighted that this technique is feasible as an ambulatory procedure; it improves quality of life and symptoms in the majority of patients with varicose veins, with a rapid return to normal life and work activities.
射频消融术（RFA）是一种相对较新的治疗方法，于1999年获得美国食品药品监督管理局（FDA）批准，是一种微创干预手段，因其诸多优点，包括疼痛减轻、发病率降低、住院时间缩短和恢复工作更快等，已成为最常见的替代治疗方法之一。我们回顾性分析了2012年4月至2020年12月期间在我们机构接受RFA治疗大隐静脉（VV）手术干预的503条肢体，RFA可联合或不联合手术剥脱术和硬化疗法。技术成功率为99.8%，因为有1例RFA导管因血管迂曲在大腿上三分之一处受阻。术后第一天，视觉模拟评分法（VAS）平均评分为0.32±0.56（0 - 2）。围手术期并发症发生77例（15.3%）：术中疼痛24例，其中9例伴有迷走神经综合征，浅表血肿30例，隐股交界处血栓形成（EHIT）7例，静脉炎14例，感觉异常2例。对于因大隐静脉功能不全而需要治疗的成年患者，RFA手术已被证明是具有成本效益的治疗选择。在我们的研究中，我们强调该技术作为一种门诊手术是可行的；它能改善大多数静脉曲张患者的生活质量和症状，患者能迅速恢复正常生活和工作活动。
