分析与小隐静脉反流相关的静脉曲张手术后的血流动力学变化。
Analysis of the postoperative hemodynamic changes in varicose vein surgery related with small saphenous vein reflux.
机构信息
Samsung Medical Center Division of Vascular Surgery, Seoul, Korea.
出版信息
Phlebology. 2023 Sep;38(8):516-522. doi: 10.1177/02683555231186508. Epub 2023 Jul 21.
PURPOSE
To evaluate the postoperative hemodynamic changes in varicose vein surgery related with SSV reflux using APG.
METHODS
Totals of 181 limbs and 178 patients who underwent high ligation and stripping (HLS) (87 limbs), radiofrequency ablation (RFA) (43 limbs), or endovenous laser ablation (EVLA) (51 limbs) for SSV reflux from 1995 to 2022 were enrolled. We measured venous volume (VV), venous filling index (VFI), ejection fraction (EF), and residual volume fraction (RVF) preoperatively and at postoperative one and 6 months.
RESULTS
Comparing preoperative results to those at postoperative 1 month, the reduction rates of VV, VFI, and RVF were 27, 53, and 31%, while EF increased by 18% ( < 0.001). Comparing preoperative and postoperative 6 month, the reduction rates of VV, VFI, and RVF were 27, 45, and 35%, while EF increased by 27% ( < 0.001).
CONCLUSIONS
There were hemodynamic improvement in the lower leg after varicose vein surgery including HLS, RFA, and EVLA.
目的
使用 APG 评估与 SSV 反流相关的静脉曲张手术后的术后血流动力学变化。
方法
共纳入 1995 年至 2022 年间因 SSV 反流接受高位结扎和剥脱术（HLS）（87 条肢体）、射频消融术（RFA）（43 条肢体）或静脉内激光消融术（EVLA）（51 条肢体）的 178 例患者的 181 条肢体。我们在术前、术后 1 个月和 6 个月测量静脉容量（VV）、静脉充盈指数（VFI）、射血分数（EF）和残余容量分数（RVF）。
结果
与术前相比，术后 1 个月 VV、VFI 和 RVF 的减少率分别为 27%、53%和 31%，而 EF 增加了 18%（<0.001）。与术前相比，术后 6 个月 VV、VFI 和 RVF 的减少率分别为 27%、45%和 35%，而 EF 增加了 27%（<0.001）。
结论
静脉曲张手术后小腿的血流动力学得到改善，包括 HLS、RFA 和 EVLA。
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