Clinical Observation of Foam Sclerotherapy Combined with Ligation of Great Saphenous Vein in the Treatment of Great Saphenous Varicose Veins

Abstract

Objetive: This study aims to compare the curative effect of ultrasound guided foam sclerotherapy in combination with ligation of great saphenous varicose vein with stripping of great saphenous vein in the treatment of great saphenous varicose veins.Methods: 103 cases of patients with great saphenous varicose veins were randomly divided into two groups, group A 54 cases underwent high ligation of great saphenous vein and stripping of the saphenous vein, group B 49 cases performed high ligation of great saphenous vein combined with foam slcerotherapy, and the operation time, postoperative recovery time, the duration of pain, cost of surgery, incidence of complications, quality of life, and the recurrence rate were compared. Results:The operation time, postoperative activity recovery time and duration of pain of group B was lower than that of group A (P < 0.05). There was no obvious difference of surgery expenditure between the two groups (P = 0.246). At three months after operation, life quality evaluation was statistically significant different between two groups of patients (P < 0.01) according to the aberdeen varicose vein questionnaire (AVVQ). At six months after operation, the cure rate of group B was 87.8%, and the cure rate of group A was 92.6%. Conclusions:Compared with stripping of great saphenous vein, ultrasound guided foam sclerotherapy in combination with great saphenous vein ligation can shorten operation time, and decrease the postoperative discomfort, but which has lower curative rate than the latter.

Effects of high ligation plus endovenous laser therapy in patients with varicosis of great saphenous vein and type 2 diabetes

“…Diabetes has been found to induce varicose veins. [ 2 ] Many patients are affected concurrently by varicosis of great saphenous veins and type 2 diabetes, and the incidence of this comorbidity is rising. It is urgent to find effective treatment for this comorbidity.…”

“…High ligation can achieve accurate, effective resection of the varicose vein, reducing the risk of recurrence. [ 3 ] Endovenous laser therapy directly acts on the target blood vessels to eliminate the varicose vein using the thermal effect of laser. Endovenous laser therapy is a minimally invasive technique with definite efficacy.…”

Operative and postoperative risks of combined interventions by phlebectomy and foam sclerotherapy

“…Mit der Etablierung der Schaumsklerosierung haben sich die Rahmenbedingungen für kombinierte Eingriffe deutlich ins Positive verändert (7), jedoch finden sich in der Literatur vorwiegend Arbeiten, die die Sklerosierungstherapie in Kombination mit einer hohen Ligatur der VSM oder einer Krossektomie durchführten (8)(9)(10)(11)(12).…”

“…Das Ziel der vorliegenden Studie war daher die systematische Erfassung von Komplikationen und Nebenwirkungen während der Operation und im unmittelbar postoperativen Untersuchungszeitraum. Im Vergleich zu den uns bekannten Arbeiten (8)(9)(10)(11)(12), die meist eine hohe Ligatur der Vena saphena magna oder komplette Krossektomie in Kombination mit einer Schaumsklerosierung durchführten, wurde in der vorliegenden Arbeit in keinem Fall eine hohe Ligatur der VSM oder eine Krossektomie durchgeführt.…”