Application of Endovenous Laser Treatment Combined with Foam Sclerotherapy for the Minimally Invasive Treatment of Great Saphenous Vein Varicosity
Download PDF
$currentUrl="http://$_SERVER[HTTP_HOST]$_SERVER[REQUEST_URI]"

Keywords

Endovenous laser treatment
Foam sclerotherapy
Great saphenous vein varicosities
Minimally invasive treatment

DOI

10.26689/jcnr.v8i10.8696

Submitted : 2024-09-29
Accepted : 2024-10-14
Published : 2024-10-29

Abstract

Objective: To evaluate the efficacy of endovenous laser treatment (EVLT) combined with foam sclerotherapy (FS) in the treatment of great saphenous vein varicosity (GSVV). Methods: A total of 50 patients with GSVV, treated between March 2021 and March 2024, were selected and randomly divided into two groups using a random number table. The combination group (25 cases) underwent EVLT combined with FS, while the conventional group (25 cases) underwent EVLT alone. The total effective rate, complication rate, disease severity score, and serological indicators were compared between the two groups. Results: The total effective rate in the combination group was higher, and the complication rate was lower compared to the conventional group (P < 0.05). One week after surgery, the disease severity score in the combination group was lower, coagulation function indicators were better, and inflammatory factor levels were lower compared to the conventional group (P < 0.05). Conclusion: EVLT combined with FS can improve the clinical efficacy in GSVV patients, prevent postoperative complications, reduce disease severity, protect patients’ coagulation function, and alleviate postoperative inflammatory responses, showing significant advantages in combined surgery.

References

Li Z, Sun M, He N, et al., 2022, Efficacy of Radiofrequency Ablation of the Great Saphenous Vein Trunk Combined with Foam Sclerotherapy of the Calf Segment for the Treatment of Elderly Patients with Primary Great Saphenous Vein Varicosity. Journal of Practical Cardiopulmonary Vascular Disease, 30(10): 70–74.

Chen H, Li R, Yang Y, et al., 2020, The Effect of Endovenous Laser Ablation Treatment of Great Saphenous Vein Varicosity Under Real-Time Ultrasound Monitoring. Clinical Medical Research and Practice, 5(11): 58–59 + 68.

Fang L, Yuan H, 2021, Clinical Analysis of Endovenous Laser Ablation Combined with Foam Sclerotherapy for the Treatment of Lower Limb Varicose Veins. Surgical Theory and Practice, 26(4): 367–369.

Liu C, Wang D, Liu B, 2024, The Effect of High Ligation of the Great Saphenous Vein Combined with Foam Sclerotherapy on Patients with Great Saphenous Vein Varicosity. Chinese Journal of General Medicine, 36(12): 42–44.

Li Y, Lu X, Zhang Z, et al., 2021, Efficacy Analysis of Intravascular Thermal Ablation (980 nm Laser) Combined with Foam Sclerotherapy in the Day Surgery of Lower Limb Varicose Veins. Journal of Shanghai Jiao Tong University (Medical Edition), 41(10): 1308–1312.

Huang M, Zhang L, 2021, Treatment Effect of High Ligation of the Great Saphenous Vein Combined with Foam Sclerotherapy on Great Saphenous Vein Varicosity. World Latest Medical Information Abstracts (Continuous Electronic Journal), 21(19): 158–159.

Li Y, Zhang Q, Dong Y, et al., 2021, Analysis of Influencing Parameters of Endovenous Laser Ablation Treatment Efficacy for Lower Limb Varicose Veins. International Journal of Surgery, 48(12): 838–842.

Wang X, Meng B, Liu J, et al., 2020, Observation of the Effect of Ultrasound-Guided Foam Sclerotherapy Combined with Surgery on Lower Limb Varicose Veins and the Improvement of Patient Hemodynamics, VCSS Scores, and Inflammation Status. Chinese Journal of Drugs and Clinical Practice, 20(1): 15–19.

Qian J, Xu Y, Wei Y, et al., 2021, Clinical Observation of Endovenous Laser Ablation Combined with Foam Sclerotherapy in the Treatment of Great Saphenous Vein Varicosity. Journal of Taishan Medical College, 42(2): 127–129.

Ning J, Li J, 2020, Clinical Application of Endovenous Laser Ablation in the Treatment of Great Saphenous Vein Varicosity. Chinese Journal of Drugs and Clinical Practice, 20(6): 961–962.

Gao J, Shao H, Wang H, et al., 2023, Clinical Efficacy of Ultrasound-Guided Endovenous Radiofrequency Ablation Combined with Foam Sclerotherapy for the Treatment of Simple Lower Limb Varicose Veins. Journal of Dalian Medical University, 45(6): 498–502.