氰基丙烯酸酯封闭术与射频消融术治疗小隐静脉的比较。
Comparison of cyanoacrylate closure and radiofrequency ablation for the treatment of small saphenous veins.
机构信息
Department of Cardiovascular Surgery, Faculty of Medicine, Bulent Ecevit University, Zonguldak.
Department of Cardiovascular Surgery, Memorial Hospital, Ankara, Turkey.
出版信息
Phlebology. 2023 Dec;38(10):668-674. doi: 10.1177/02683555231198625. Epub 2023 Aug 29.
BACKGROUND
The objective of this study was to compare the early and mid-term results of radiofrequency ablation and cyanoacrylate ablation used in the treatment of small saphenous insufficiency.
METHODS
A total of 84 patients with isolated small saphenous vein insufficiency who underwent either cyanoacrylate ablation (CA) (Group 1, = 40) or radiofrequency ablation (RFA) (Group 2, = 44) were analyzed retrospectively.
RESULTS
The occlusion rate of target vessel was 95% in Group 1 and 93.1% in Group 2 patients, respectively, at 1-year follow-up without any significant difference. Sural nerve injury was observed in 3 (6.8%) patients in Group 2 due to the thermal damage of the RFA device.
CONCLUSIONS
While both techniques can be used with satisfactory and safe results in 1-year follow-up period, cyanoacrylate ablation may have a better safety profile compared to radiofrequency ablation due to lower complication rates in terms of paresthesia and sural nerve damage with similar occlusion rates.
背景
本研究旨在比较射频消融和氰基丙烯酸酯消融治疗小隐静脉功能不全的早期和中期结果。
方法
回顾性分析了 84 例单纯小隐静脉功能不全患者，分别行氰基丙烯酸酯消融（CA）（组 1，n=40）或射频消融（RFA）（组 2，n=44）。
结果
1 年随访时，两组患者靶血管闭塞率分别为 95%和 93.1%，差异无统计学意义。由于 RFA 设备的热损伤，组 2 中有 3 例（6.8%）患者出现腓肠神经损伤。
结论
两种技术在 1 年随访期间均能取得满意和安全的效果，但与射频消融相比，氰基丙烯酸酯消融的安全性可能更好，因为在感觉异常和腓肠神经损伤方面的并发症发生率较低，闭塞率相似。
Zotero 插件