通信作者:许卫国,E-mail:xwg315@163.com微波消融联合泡沫硬化术与射频消融联合泡沫硬化术治疗下肢静脉曲张的疗效对比杨晓玉许卫国暨南大学附属珠海医院(珠海市人民医院)(珠海519070)【摘要】目的探究腔内微波消融(EMA)联合泡沫硬化剂治疗与腔内射频消融(RFA)联合泡沫硬化剂治疗下肢静脉曲张的临床疗效和并发症情况。方法回顾性选择收集106例下肢静脉曲张患者的临床资料,其中54例患者(观察组)接受EMA联合泡沫硬化剂治疗,52例患者(对照组)接受RFA联合泡沫硬化剂治疗。比较2组患者相关临床指标及并发症发生情况。结果观察组手术时间(34.92±2.35)min,对照组手术时间(46.33±2.71)min,观察组手术时间较短,差异有统计学意义(P<0.05),其余手术参数差异不明显(P>0.05)。观察组的住院费用(21063.74±850.47)元,对照组住院费用(23312.40±1035.86)元,观察组住院费用较低,有统计学差异(P<0.05)。2组间并发症发生率、总有效率和总满意度均无显著差异。对比2组患者手术前和手术治疗后1年的静脉临床严重程度评分、阿伯丁静脉曲张问卷评分,组间对比没有统计学差异(P>0.05);而在患者手术1年之后的静脉临床严重程度评分、阿伯丁静脉曲张问卷评分均呈现出明显的下降趋势(P<0.05)。结论微波消融是有效治疗下肢静脉曲张的术式,与射频消融比较,具有同样良好的短期效果;微波消融所需的手术时间较短且费用较低。【关键词】微波消融;泡沫硬化;射频消融;下肢静脉曲张DOI:10.3969/j.issn.1000-8535.2023.02.006Clinicaleffectscomparisonbetweenmicrowaveablationcombinedwithfoamsclerosisandradiofre-quencyablationcombinedwithfoamsclerosisintreatingvaricoseveinsoflowerextremityYANGXiaoyu,XUWeiguoZhuhaiHospitalAffiliatedwithJinanUniversity(ZhuhaiPeople'sHospital),Zhuhai519000,China【Abstract】ObjectiveTocomparetheclinicalefficacyandcomplicationsbetweenendovascularmicrowaveablation(EMA)combinedwithfoamsclerotherapyandradiofrequencyablation(RFA)combinedwithfoamsclerotherapyinpatientswithvaricoseveinsoflowerextremity.MethodsAtotalof106patientswithvaricoseveinsoflowerextremitywereincludedintheretrospectivestudy.Amongthem,54patients(observationgroup)weretreatedwithEMAcombinedwithfoamsclero-therapy,and52patients(controlgroup)weretreatedwithRFAcombinedwithfoamsclerotherapy.Therelatedclinicalinde-xesandcomplicatio...
