{"title":"无静脉切除术/硬化治疗的静脉曲张的射频消融的短期和中期结果。","authors":"Toshihiro Kawahira, Fumihiro Miyashita, Eiji Hitomi, Masahide Enomoto, Yasuo Kondo, Masanori Morimoto, Naoshi Minamidate, Noriyuki Takashima, Tomoaki Suzuki","doi":"10.3400/avd.oa.24-00130","DOIUrl":null,"url":null,"abstract":"<p><p>Endovenous surgery in the treatment of varicose veins generally consists of laser or radiofrequency ablation (RFA) as endovenous thermal ablation (ETA) with a phlebectomy or foam sclerotherapy of tributary varicose veins to improve symptomatic or cosmetic problems. Nevertheless, the efficacy of their concomitant treatments is still controversial for a decade. In the guidelines of the Japanese Society of Phlebology, concomitant phlebectomy of tributary varicose veins with ETA is described that it is not recommended officially. In our hospital, RFA without concomitant phlebectomy of tributary varicose veins accounts for 74% of the RFA cases and it shows a relatively higher percentage than other institutions in Japan. The data of RFA without concomitant phlebectomy of tributary varicose veins are evenly matched in RFA with concomitant treatments in our data concerning recurrence, remnants, endovenous heat-induced thrombosis (EHIT), and complications. This article provides the conclusion that it would be acceptable to perform isolated RFA compared to RFA with concomitant phlebectomy or foam sclerotherapy of tributary varicose veins in short- and mid-term periods. In addition, concomitant treatments might contribute to rapid improvement of the short-term and better long-term outcomes, not to mention cosmetic problems that are not identified demonstrably. 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In addition, concomitant treatments might contribute to rapid improvement of the short-term and better long-term outcomes, not to mention cosmetic problems that are not identified demonstrably. 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引用次数: 0
摘要
静脉内手术治疗静脉曲张通常包括激光或射频消融(RFA)作为静脉内热消融(ETA)与静脉切除术或泡沫硬化治疗分支静脉曲张,以改善症状或美容问题。然而,十年来,他们的伴随治疗的有效性仍然存在争议。在日本静脉学会的指导方针中,ETA伴行静脉曲张的静脉切除术是不被正式推荐的。在我院,不合并支静脉曲张的RFA占RFA病例的74%,比日本其他机构的比例要高。在我们关于复发、残留、静脉内热致血栓形成(EHIT)和并发症的数据中,不同时行支静脉曲张静脉切除术的RFA数据与同时治疗的RFA数据相当。本文的结论是,与RFA合并静脉切除术或泡沫硬化治疗短中期静脉曲张相比,单独进行RFA是可以接受的。此外,伴随治疗可能有助于快速改善短期和更好的长期结果,更不用说没有明确识别的美容问题。(这是j.jpn Coll angol 2022的翻译;62: 49-54)。
Short and Mid-term Outcome of Radiofrequency Ablation without Concomitant Phlebectomy/Sclerotherapy for Tributary Varicose Veins.
Endovenous surgery in the treatment of varicose veins generally consists of laser or radiofrequency ablation (RFA) as endovenous thermal ablation (ETA) with a phlebectomy or foam sclerotherapy of tributary varicose veins to improve symptomatic or cosmetic problems. Nevertheless, the efficacy of their concomitant treatments is still controversial for a decade. In the guidelines of the Japanese Society of Phlebology, concomitant phlebectomy of tributary varicose veins with ETA is described that it is not recommended officially. In our hospital, RFA without concomitant phlebectomy of tributary varicose veins accounts for 74% of the RFA cases and it shows a relatively higher percentage than other institutions in Japan. The data of RFA without concomitant phlebectomy of tributary varicose veins are evenly matched in RFA with concomitant treatments in our data concerning recurrence, remnants, endovenous heat-induced thrombosis (EHIT), and complications. This article provides the conclusion that it would be acceptable to perform isolated RFA compared to RFA with concomitant phlebectomy or foam sclerotherapy of tributary varicose veins in short- and mid-term periods. In addition, concomitant treatments might contribute to rapid improvement of the short-term and better long-term outcomes, not to mention cosmetic problems that are not identified demonstrably. (This is a translation of J Jpn Coll Angiol 2022; 62: 49-54.).