Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity
ObjectiveTo compare the efficacy of modified radiofrequency ablation (RFA) combined with sclerosing agent injection and high stripping and ligation (HSL) combined with sclerosing agent injection in the treatment of great saphenous vein varicosity. MethodsA total of 220 patients (252 affected limbs)...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shanghai Chinese Clinical Medicine Press Co., Ltd.
2025-08-01
|
| Series: | Zhongguo Linchuang Yixue |
| Subjects: | |
| Online Access: | https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2025.20250158 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849223004761882624 |
|---|---|
| author | Yachao WANG Hao JI Luyi SI Yuanyuan KONG Haijun MEI |
| author_facet | Yachao WANG Hao JI Luyi SI Yuanyuan KONG Haijun MEI |
| author_sort | Yachao WANG |
| collection | DOAJ |
| description | ObjectiveTo compare the efficacy of modified radiofrequency ablation (RFA) combined with sclerosing agent injection and high stripping and ligation (HSL) combined with sclerosing agent injection in the treatment of great saphenous vein varicosity. MethodsA total of 220 patients (252 affected limbs) who underwent surgery for great saphenous vein varicosity at Affiliated Hospital of Nantong University from May 2022 to March 2024 were selected. They were divided into RFA group (110 patients and 125 affected limbs treated with modified RFA combined with sclerosing agent injection) and HSL group (110 patients and 127 affected limbs treated with HSL combined with sclerosing agent injection) according to the surgical methods. The treatment effect, surgical time, bleeding during the surgery, time to get out of bed after surgery, and various postoperative complications were compared between the two groups. The pain level, disease severity, and the quality of life were measured using the visual analog scale (VAS), venous clinical severity score (VCSS) and chronic venous insufficiency questionnaire-14 item (CIVIQ-14), respectively. ResultsThere was no statistically significant difference in the total effective rate between the two groups of patients, but the distribution of efficacy levels in the RFA group was better than that in the HSL group (P＝0.044). Compared with the HSL group, the RFA group had shorter surgery time, fewer incisions during surgery, less bleeding during the surgical process, shorter time to get out of bed after surgery（P＜0.01）, and a lower overall complication rate (P＝0.006). The RFA group had lower postoperative VAS, VCSS, and CIVIQ-14 scores than the HSL group 1 month after surgery (P＜0.01). During 6 months of postoperative follow-up, the recurrence rates were similar between the two groups. Conclusions Compared with HSL combined with sclerosing agent injection, the modified RFA combined with sclerosing agent injection for the great saphenous vein varicosity has the advantages of less trauma, faster recovery, fewer complications, better postoperative quality of life, and is worthy of clinical promotion and application. |
| format | Article |
| id | doaj-art-aa55b4e7f0e942a0b7d2267bc4dc0ed6 |
| institution | Kabale University |
| issn | 1008-6358 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Shanghai Chinese Clinical Medicine Press Co., Ltd. |
| record_format | Article |
| series | Zhongguo Linchuang Yixue |
| spelling | doaj-art-aa55b4e7f0e942a0b7d2267bc4dc0ed62025-08-26T01:29:39ZengShanghai Chinese Clinical Medicine Press Co., Ltd.Zhongguo Linchuang Yixue1008-63582025-08-0132464765310.12025/j.issn.1008-6358.2025.2025015820250158Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosityYachao WANG0Hao JI1Luyi SI2Yuanyuan KONG3Haijun MEI4Department of Interventional and Vascular Surgery, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, ChinaDepartment of Interventional and Vascular Surgery, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, ChinaDepartment of Interventional and Vascular Surgery, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, ChinaDepartment of Interventional and Vascular Surgery, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, ChinaDepartment of Interventional and Vascular Surgery, Affiliated Hospital of Nantong University, Nantong 226000, Jiangsu, ChinaObjectiveTo compare the efficacy of modified radiofrequency ablation (RFA) combined with sclerosing agent injection and high stripping and ligation (HSL) combined with sclerosing agent injection in the treatment of great saphenous vein varicosity. MethodsA total of 220 patients (252 affected limbs) who underwent surgery for great saphenous vein varicosity at Affiliated Hospital of Nantong University from May 2022 to March 2024 were selected. They were divided into RFA group (110 patients and 125 affected limbs treated with modified RFA combined with sclerosing agent injection) and HSL group (110 patients and 127 affected limbs treated with HSL combined with sclerosing agent injection) according to the surgical methods. The treatment effect, surgical time, bleeding during the surgery, time to get out of bed after surgery, and various postoperative complications were compared between the two groups. The pain level, disease severity, and the quality of life were measured using the visual analog scale (VAS), venous clinical severity score (VCSS) and chronic venous insufficiency questionnaire-14 item (CIVIQ-14), respectively. ResultsThere was no statistically significant difference in the total effective rate between the two groups of patients, but the distribution of efficacy levels in the RFA group was better than that in the HSL group (P＝0.044). Compared with the HSL group, the RFA group had shorter surgery time, fewer incisions during surgery, less bleeding during the surgical process, shorter time to get out of bed after surgery（P＜0.01）, and a lower overall complication rate (P＝0.006). The RFA group had lower postoperative VAS, VCSS, and CIVIQ-14 scores than the HSL group 1 month after surgery (P＜0.01). During 6 months of postoperative follow-up, the recurrence rates were similar between the two groups. Conclusions Compared with HSL combined with sclerosing agent injection, the modified RFA combined with sclerosing agent injection for the great saphenous vein varicosity has the advantages of less trauma, faster recovery, fewer complications, better postoperative quality of life, and is worthy of clinical promotion and application.https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2025.20250158great saphenous vein varicositymodified radiofrequency ablationhigh stripping and ligationcomplication |
| spellingShingle | Yachao WANG Hao JI Luyi SI Yuanyuan KONG Haijun MEI Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity Zhongguo Linchuang Yixue great saphenous vein varicosity modified radiofrequency ablation high stripping and ligation complication |
| title | Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity |
| title_full | Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity |
| title_fullStr | Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity |
| title_full_unstemmed | Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity |
| title_short | Analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity |
| title_sort | analysis of the therapeutic effect of modified radiofrequency ablation on great saphenous vein varicosity |
| topic | great saphenous vein varicosity modified radiofrequency ablation high stripping and ligation complication |
| url | https://www.c-jcm.com/article/doi/10.12025/j.issn.1008-6358.2025.20250158 |
| work_keys_str_mv | AT yachaowang analysisofthetherapeuticeffectofmodifiedradiofrequencyablationongreatsaphenousveinvaricosity AT haoji analysisofthetherapeuticeffectofmodifiedradiofrequencyablationongreatsaphenousveinvaricosity AT luyisi analysisofthetherapeuticeffectofmodifiedradiofrequencyablationongreatsaphenousveinvaricosity AT yuanyuankong analysisofthetherapeuticeffectofmodifiedradiofrequencyablationongreatsaphenousveinvaricosity AT haijunmei analysisofthetherapeuticeffectofmodifiedradiofrequencyablationongreatsaphenousveinvaricosity |