Treatment of varicose great saphenous vein with endovenous laser alone or combined with eco-guided foam sclerotherapy: A randomized controlled trial.

Phlebology Pub Date : 2024-12-01 Epub Date: 2024-06-18 DOI:10.1177/02683555241263224
Fabricio Duarte, Diego Mello de Souza, Ademar Regueira Filho, Laércio João Bazzanella, Flávia Del Castanhel, Getúlio Rodrigues de Oliveira Filho
{"title":"Treatment of varicose great saphenous vein with endovenous laser alone or combined with eco-guided foam sclerotherapy: A randomized controlled trial.","authors":"Fabricio Duarte, Diego Mello de Souza, Ademar Regueira Filho, Laércio João Bazzanella, Flávia Del Castanhel, Getúlio Rodrigues de Oliveira Filho","doi":"10.1177/02683555241263224","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objectives:</b> This study compares Endovenous Laser Ablation (EVLA) alone versus combined with ultrasound-guided foam sclerotherapy (UGFS) for Great Saphenous Vein (GSV) insufficiency. <b>Methods:</b> Sixty patients were randomly allocated to EVLA or EVLA-UGFS groups which focused on GSV occlusion rates, complications, additional treatments, and quality of life (QoL) changes. <b>Results:</b> Among 55 participants, the EVLA group had higher 12-month occlusion rates (92.3% vs. 75.8%, <i>p</i> = 0.11). Nervous injury (NI) was rarer in EVLA-UGFS (3.4% vs. 23.1%, <i>p</i> = 0.04). No significant difference in other complication rates (<i>p</i> > 0.05). QoL improved in both groups (<i>p</i> < 0.001). EVLA-UGFS required more subsequent procedures (24.1% vs. 7.7%, <i>p</i> = 0.03). <b>Conclusions:</b> EVLA and EVLA-UGFS effectively treat GSV insufficiency, enhancing QoL. The combined method reduces NI risk but may require more follow-up procedures.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"660-668"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Phlebology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/02683555241263224","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/18 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives: This study compares Endovenous Laser Ablation (EVLA) alone versus combined with ultrasound-guided foam sclerotherapy (UGFS) for Great Saphenous Vein (GSV) insufficiency. Methods: Sixty patients were randomly allocated to EVLA or EVLA-UGFS groups which focused on GSV occlusion rates, complications, additional treatments, and quality of life (QoL) changes. Results: Among 55 participants, the EVLA group had higher 12-month occlusion rates (92.3% vs. 75.8%, p = 0.11). Nervous injury (NI) was rarer in EVLA-UGFS (3.4% vs. 23.1%, p = 0.04). No significant difference in other complication rates (p > 0.05). QoL improved in both groups (p < 0.001). EVLA-UGFS required more subsequent procedures (24.1% vs. 7.7%, p = 0.03). Conclusions: EVLA and EVLA-UGFS effectively treat GSV insufficiency, enhancing QoL. The combined method reduces NI risk but may require more follow-up procedures.

静脉腔内激光单独或与生态导引泡沫硬化疗法联合治疗大隐静脉曲张:随机对照试验。
研究目的:本研究比较了单纯静脉腔内激光消融术(EVLA)与超声引导下泡沫硬化疗法(UGFS)联合治疗大隐静脉(GSV)瓣膜功能不全的效果。方法:将 60 名患者随机分配到 EVLA 组或 EVLA-UGFS 组,重点关注 GSV 闭塞率、并发症、额外治疗和生活质量(QoL)变化。结果:在 55 名参与者中,EVLA 组的 12 个月闭塞率更高(92.3% 对 75.8%,P = 0.11)。EVLA-UGFS组较少发生神经损伤(NI)(3.4% 对 23.1%,P = 0.04)。其他并发症发生率无明显差异(P > 0.05)。两组患者的生活质量均有所改善(p < 0.001)。EVLA-UGFS 需要更多后续手术(24.1% 对 7.7%,p = 0.03)。结论:EVLA和EVLA-UGFS可有效治疗GSV功能不全,提高生活质量。联合方法降低了NI风险,但可能需要更多的后续手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信