Clinical efficacy of the treatment of varicose veins of lower extremity by combination of foam sclerotherapy and transilluminated powered phlebectomy

doi:10.3877/cma.j.issn.1674-0793.2019.01.006

Abstract

Abstract:

Objective

To investigate the clinical effect of combined treatment of the foam sclerotherapy and transilluminated powered phlebectomy (TIPP) of severe lower extremity varicose vein.

Methods

Forty-nine cases of varicosis of great saphenous vein were randomly divided into two groups: 33 cases in the combination group and 16 cases in the control group. The combination group underwent high ligation of great saphenous vein combined foam sclerotherapy and TIPP, while control group only high ligation of great saphenous vein combined TIPP.

Results

There were significant differences between two groups in intraoperative blood loss, postoperative pain duration and hospitalization duration (t=3.916, 3.465, 2.554, P=0.003, 0.001, 0.011), but no significant differences in postoperative off-bed time, postoperative edema incidence and postoperative complication incidence (t=1.851, χ²=3.614, 1.467, P=0.406, 0.057, 0.226).

Conclusion

Foam sclerotherapy combined with TIPP shows less bleeding, postoperative recovery time, and shorter hospitalization time.

Key words: Varicose veins, Ligation, Transilluminated powered phlebectomy, Foam selerotherapy

Tao Li, Guoxian Zhu, Hongwei Yang. Clinical efficacy of the treatment of varicose veins of lower extremity by combination of foam sclerotherapy and transilluminated powered phlebectomy[J]. Chinese Archives of General Surgery(Electronic Edition), 2019, 13(01): 34-37.

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Figures/Tables 2

References 15

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组别	例数	病变部位			CEAP分级			合并感染	穿通支瓣膜反流
组别	例数	左下肢	右下肢	双下肢	C4	C5	C6	合并感染	穿通支瓣膜反流
联合组	33	11(33.3)	7(21.2)	15(45.5)	21(63.6)	8(24.2)	4(12.1)	7(21.2)	9(27.3)
对照组	16	6(37.5)	3(18.8)	7(43.7)	10(62.5)	5(31.2)	1(6.3)	3(18.8)	5(31.2)
χ²值		0.014	0.010	0.002	0.000	0.058	0.065	0.040	0.084
P值		0.774	0.841	0.910	0.938	0.602	0.524	0.841	0.773

组别	例数	病变部位			CEAP分级			合并感染	穿通支瓣膜反流
组别	例数	左下肢	右下肢	双下肢	C4	C5	C6	合并感染	穿通支瓣膜反流
联合组	33	11(33.3)	7(21.2)	15(45.5)	21(63.6)	8(24.2)	4(12.1)	7(21.2)	9(27.3)
对照组	16	6(37.5)	3(18.8)	7(43.7)	10(62.5)	5(31.2)	1(6.3)	3(18.8)	5(31.2)
χ²值		0.014	0.010	0.002	0.000	0.058	0.065	0.040	0.084
P值		0.774	0.841	0.910	0.938	0.602	0.524	0.841	0.773

组别	例数	术中出血量(ml)	术后疼痛时间(d)	住院时间(d)	开始下床时间(d)
联合组	33	40.91±16.46	6.76±2.29	12.52±3.05	1.27±0.45
对照组	16	60.03±15.06	9.81±3.87	15.44±4.93	1.56±0.63
t值		3.916	3.465	2.554	1.851
P值		0.003	0.001	0.011	0.406

组别	例数	术中出血量(ml)	术后疼痛时间(d)	住院时间(d)	开始下床时间(d)
联合组	33	40.91±16.46	6.76±2.29	12.52±3.05	1.27±0.45
对照组	16	60.03±15.06	9.81±3.87	15.44±4.93	1.56±0.63
t值		3.916	3.465	2.554	1.851
P值		0.003	0.001	0.011	0.406

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