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YI Wen, YANG Chuan, HE Ying, LIU Zhenzhen, ZHANG Xueling, ZHU Kepeng, LUO Yi, YIN Junming, GUO Li, DU Guocheng. Efficacy of ultrasound-guided percutaneous ligation of combined with sclerotherapy in treating great saphenous varicose[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 55-58. DOI: 10.7619/jcmp.20200550
Citation: YI Wen, YANG Chuan, HE Ying, LIU Zhenzhen, ZHANG Xueling, ZHU Kepeng, LUO Yi, YIN Junming, GUO Li, DU Guocheng. Efficacy of ultrasound-guided percutaneous ligation of combined with sclerotherapy in treating great saphenous varicose[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 55-58. DOI: 10.7619/jcmp.20200550
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Efficacy of ultrasound-guided percutaneous ligation of combined with sclerotherapy in treating great saphenous varicose

  • Third Department of General Surgery, Nanchong City Central Hospital in Sichuan Province, The Second Clinical College of North Sichuan Medical College, Nanchong, Sichuan, 637000

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  • Received Date: December 10, 2020
  • Available Online: March 14, 2021
  • Published Date: February 27, 2021
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    • Abstract
  •   Objective  To observe the treatment effect of ultrasound-guided percutaneous high ligation of great saphenous vein combined with sclerosing agent injection in treating primary great saphenous varicose.
      Methods  A total of 28 primary varicose veins cases undergoing ultrasound-guided percutaneous high ligation of great saphenous vein combined with sclerosing agent injection for single leg were selected as observation group, and 28 cases with primary varicose veins treated by conventional operations for single leg were selected as control group. The effectiveness, safety and socioeconomic indicators were compared and analyzed.
      Results  The half-year venous trunk cosure rate and symptom remission rate were 92.86%(26/28) and 96.43%(27/28), respectively in the observation group, were 100.00% and 100.00%, respectively in the control group, but no significant differences were found between two groups(P>0.05). The intraoperative blood loss in the observation group was (5.71±1.78) mL, which was significantly less than (39.54±18.08) mL in the control group(P<0.05). The incidence of complications was 28.57%(8/28) in the observation group and 35.71%(10/28) in the control group, and the difference was not statistically significant(P>0.05). The length of hospital stay in the observation group was shorter than that in the control group, and the cost of hospital stay in the observation group was less than that in the control group, the differences were statistically significant (P<0.05).
      Conclusion  Ultrasound-guided percutaneous high ligation of great saphenous vein combined with sclerosing agent injection in treating primary great saphenous varicose has higher efficacy and safety, shorter length of hospital stay, and lower cost of treatment.
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    • References (20)
  • [1]
    LAWAETZ M, SERUP J, LAWAETZ B, et al. Comparison of endovenous radiofrequency ablation, laser ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. extended 5-year follow-up of a RCT[J]. Eur J Vasc Endovascular Surg, 2017, 53(3): e14. http://www.sciencedirect.com/science/article/pii/S1078588416306347
    [2]
    VÄHÄAHO S, ALBÄCK A, HALMESMÄKI K, et al. RCT comparing the long-term results of UGFS, EVLA and open surgery in the treatment of GSV reflux[J]. Eur J Vasc Endovascular Surg, 2015, 50(3): 398. http://www.sciencedirect.com/science/article/pii/S1078588415004311
    [3]
    BIEMANS A A, KOCKAERT M, AKKERSDIJK G P, et al. Comparing endovenous laser ablation, foam sclerotherapy, and conventional surgery for great saphenous varicose veins[J]. J Vasc Surg, 2013, 58(3): 727-734. doi: 10.1016/j.jvs.2012.12.074
    [4]
    VAN DER VELDEN S K, BIEMANS A A, DE MAESENEER M G, et al. Five-year results of a randomized clinical trial of conventional surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy in patients with great saphenous varicose veins[J]. Br J Surg, 2015, 102(10): 1184-1194. doi: 10.1002/bjs.9867
    [5]
    陈智勇, 司小毛, 仇鹏, 等. 超声引导泡沫硬化剂注射与传统手术治疗大隐静脉曲张疗效及安全性Meta分析[J]. 中国血管外科杂志: 电子版, 2014, 6(1): 26-30. https://www.cnki.com.cn/Article/CJFDTOTAL-XGWK201401012.htm
    [6]
    高子辰, 李杰, 苗绪学. 泡沫硬化剂联合大隐静脉高位结扎术治疗下肢静脉曲张的临床观察[J]. 心血管外科杂志: 电子版, 2019, 8(1): 62-63. https://www.cnki.com.cn/Article/CJFDTOTAL-XXGW201901045.htm
    [7]
    黄楷, 陈钦昌, 林细霞, 等. 高位结扎联合泡沫硬化剂治疗原发性大隐静脉曲张的初步疗效[J]. 中华普通外科学文献: 电子版, 2017, 11(6): 422-425. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHPD201706017.htm
    [8]
    李冉. 大隐静脉高位结扎联合泡沫硬化剂治疗下肢静脉曲张的疗效及安全性研究[J]. 中国医学工程, 2019, 27(5): 99-101. https://www.cnki.com.cn/Article/CJFDTOTAL-YCGC201905027.htm
    [9]
    TONIOLO J, CHIANG N, MUNTEANU D, et al. Vein diameter is a predictive factor for recanalization in treatment with ultrasound-guided foam sclerotherapy[J]. J Vasc Surg Venous Lymphat Disord, 2018, 6(6): 707-716. doi: 10.1016/j.jvsv.2018.05.029
    [10]
    冉寅呈, 刘洪, 张矛, 等. 超声引导下泡沫硬化疗法联合主干高位透皮缝扎治疗原发性大隐静脉曲张的初步疗效[J]. 中华血管外科杂志, 2018, 3(4): 228-232. https://cdmd.cnki.com.cn/Article/CDMD-10631-1020650216.htm
    [11]
    袁月德. 超声引导在泡沫硬化剂硬化交通支静脉治疗下肢静脉曲张复发中的作用探讨[J]. 临床医药文献电子杂志, 2017, 4(55): 10797-10801. doi: 10.3877/j.issn.2095-8242.2017.55.083
    [12]
    郑日叶, 李福山, 巫丽平. 超声引导下泡沫硬化剂闭合穿支静脉对轻度下肢静脉曲张的临床疗效观察[J]. 现代医用影像学, 2017, 26(5): 1176-1178. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYY201705010.htm
    [13]
    鲁科峰, 何洪峰, 胡巧洪, 等. 超声引导在泡沫硬化剂硬化交通支静脉治疗下肢静脉曲张复发中的作用探讨[J]. 临床超声医学杂志, 2017, 19(6): 418-420. https://www.cnki.com.cn/Article/CJFDTOTAL-LCCY201706023.htm
    [14]
    王莉, 代锋. 超声引导下聚桂醇泡沫硬化剂与常规剥脱术治疗大隐静脉曲张的效果比较[J]. 河南医学研究, 2019, 28(6): 1027-1028. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYX201906029.htm
    [15]
    史卫军, 田众一. 泡沫硬化疗法与传统外科手术治疗下肢静脉曲张的临床研究[J]. 西部医学, 2016, 28(11): 1583-1586. https://www.cnki.com.cn/Article/CJFDTOTAL-XIBU201611025.htm
    [16]
    王建军, 余涛, 裴晓东, 等. 经皮高位结扎与传统开放式高位结扎大隐静脉的随机前瞻性研究[J]. 安徽医药, 2020, 24(4): 712-715. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYY202004020.htm
    [17]
    毕学颖, 周卫东. 局部剥除联合经皮缝扎治疗大隐静脉曲张合并血栓疗效观察[J]. 现代医药卫生, 2018, 34(4): 567-569. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS201804031.htm
    [18]
    林爽, 王宇令. 激光腔内闭合术联合泡沫硬化剂注射术在大隐静脉曲张微创治疗中的应用[J]. 中国美容整形外科杂志, 2018, 29(11): 657-660. https://www.cnki.com.cn/Article/CJFDTOTAL-SMZW201811009.htm
    [19]
    庾先翠, 李露露. 彩色多普勒超声在下肢静脉曲张患者泡沫硬化剂治疗过程中的应用[J]. 山西医药杂志, 2018, 47(20): 2422-2424. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY201820014.htm
    [20]
    孙厚坦, 赵威武, 陈朝旻, 等. 改良法注射聚桂醇泡沫硬化剂治疗大隐静脉曲张的疗效观察[J]. 西北国防医学杂志, 2020, 41(11): 677-681. https://www.cnki.com.cn/Article/CJFDTOTAL-XBGY202011005.htm
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