The clinical outcomes of endovenous microwave and laser ablation for varicose veins: A prospective study

被引：28
作者：
Yang, Lin [1 ]
Wang, Xiaoping [2 ]
Wei, Zhiqing [3 ]
Zhu, Chenghua [4 ]
Liu, Jianlin [1 ]
Han, Yang [1 ]
机构：
[1] Xi An Jiao Tong Univ, Dept Vasc Surg, Affiliated Hosp 1, Xian 710061, Peoples R China
[2] Shanghai Municipal Hosp Tradit Chinese Med, Dept Integrated TCM WM Surg, Shanghai, Peoples R China
[3] Nanjing Med Univ, Dept Gen Surg, Affiliated Hosp 2, Nanjing, Peoples R China
[4] Nanjing Lishui Peoples Hosp, Dept Ultrasound Med, Nanjing, Peoples R China
来源：
SURGERY | 2020年 / 168卷 / 05期
关键词：
CONVENTIONAL SURGERY; PRACTICE-GUIDELINES; FOAM SCLEROTHERAPY; VASCULAR-SURGERY; LIGATION; TRIAL; MANAGEMENT; POPULATION; SOCIETY; REFLUX;
D O I：
10.1016/j.surg.2020.06.035
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: This study investigates the clinical outcomes of endovenous microwave ablation and endovenous laser ablation for varicose veins. Methods: A total of 139 patients who underwent endovenous microwave ablation and 145 patients who underwent endovenous laser ablation were included in this multicenter study. The clinical outcomes and complications were assessed at 1, 6, and 12 months after the procedure. The effect on quality of life was assessed by the Aberdeen Varicose Vein Questionnaire and the EuroQol Group 5-Dimension Self-Report Questionnaire. Results: The endovenous microwave ablation group had a shorter procedure time than the endovenous laser ablation group (42.58 +/- 15.62 minutes vs 65.46 +/- 24.38 minutes, P < .01), and no significant differences were observed in the other procedure parameters. The incidences of induration (20.26% vs 31.06%) and ecchymosis (13.07% vs 22.98%, P < .05) were lower in the endovenous microwave ablation group. The rates of temporary paresthesia (9.80% vs 18.01%) and residual varicosities (8.61% vs 16.77%, P < .05) were lower in the endovenous microwave ablation group at 1 month. There were no significant differences in paresthesia or saphenous vein closure rates between the groups at 6 and 12 months. Both groups had significant improvements in their Aberdeen Varicose Vein Questionnaire and EuroQol Group 5-Dimension Self-Report Questionnaire scores post-procedure, and no significant differences in Aberdeen Varicose Vein Questionnaire and EuroQol Group 5-Dimension Self-Report Questionnaire scores were confirmed. However, local recurrence below the knee was lower in the endovenous microwave ablation group (2.34% vs 8.46%, P < .05) after 12 months. Conclusion: Our results confirmed that the endovenous microwave ablation procedure demonstrated a shorter procedure time, lower complication, and local recurrence than the endovenous laser ablation procedure. (C) 2020 The Author(s). Published by Elsevier Inc.
引用
收藏
页码：909 / 914
页数：6
相关论文
共 28 条
[1]  
Bootun R, 2016, J SURG OXFORD, V34, P165, DOI DOI 10.1016/J.MPSUR.2016.02.002
[2]   Ultrasound-guided foam sclerotherapy combined with sapheno-femoral ligation compared to surgical treatment of varicose veins: Early results of a randomised controlled trial [J].
Bountouroglou, DG ;
Azzam, M ;
Kakkos, SK ;
Pathmarajah, M ;
Young, P ;
Geroulakos, G .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2006, 31 (01) :93-100
[3]   Microwave Ablation Technology: What Every User Should Know [J].
Brace, Christopher L. .
CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY, 2009, 38 (02) :61-67
[4]   Clinical and technical outcomes from a randomized clinical trial of endovenous laser ablation compared with conventional surgery for great saphenous varicose veins [J].
Carradice, D. ;
Mekako, A. I. ;
Mazari, F. A. K. ;
Samuel, N. ;
Hatfield, J. ;
Chetter, I. C. .
BRITISH JOURNAL OF SURGERY, 2011, 98 (08) :1117-1123
[5]   Randomized clinical trial of endovenous laser ablation compared with conventional surgery for great saphenous varicose veins [J].
Carradice, D. ;
Mekako, A. I. ;
Mazari, F. A. K. ;
Samuel, N. ;
Hatfield, J. ;
Chetter, I. C. .
BRITISH JOURNAL OF SURGERY, 2011, 98 (04) :501-510
[6]   Duplex Ultrasound Investigation of the Veins of the Lower Limbs after Treatment for Varicose Veins - UIP Consensus Document [J].
De Maeseneer, M. ;
Pichot, O. ;
Cavezzi, A. ;
Earnshaw, J. ;
van Rij, A. ;
Lurie, F. ;
Smith, P. C. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2011, 42 (01) :89-102
[7]   Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale [J].
Farrar, JT ;
Young, JP ;
LaMoreaux, L ;
Werth, JL ;
Poole, RM .
PAIN, 2001, 94 (02) :149-158
[8]   Late recurrent saphenofemoral junction reflux after ligation and stripping of the greater saphenous vein [J].
Fischer, R ;
Linde, N ;
Duff, C ;
Jeanneret, C ;
Chandler, JG ;
Seeber, P .
JOURNAL OF VASCULAR SURGERY, 2001, 34 (02) :236-240
[9]   The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum [J].
Gloviczki, Peter ;
Comerota, Anthony J. ;
Dalsing, Michael C. ;
Eklof, Bo G. ;
Gillespie, David L. ;
Gloviczki, Monika L. ;
Lohr, Joann M. ;
McLafferty, Robert B. ;
Meissner, Mark H. ;
Murad, M. Hassan ;
Padberg, Frank T. ;
Pappas, Peter J. ;
Passman, Marc A. ;
Raffetto, Joseph D. ;
Vasquez, Michael A. ;
Wakefield, Thomas W. .
JOURNAL OF VASCULAR SURGERY, 2011, 53 :2S-48S
[10]   Laser and Radiofrequency Ablation Study (LARA study): A Randomised Study Comparing Radiofrequency Ablation and Endovenous Laser Ablation (810 nm) [J].
Goode, S. D. ;
Chowdhury, A. ;
Crockett, M. ;
Beech, A. ;
Simpson, R. ;
Richards, T. ;
Braithwaite, B. D. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2010, 40 (02) :246-253
123