通讯作者: 黄庆锦, 785197607@qq.com

DOI：10.12201/bmr.202507.00078

The comparison in therapeutic efficacy between modified outer sleeve catheter stripping surgery and intracavitary laser treatment for primary great saphenous varicose vein

• 摘要：目的 探讨改良的外套式导管剥脱术与腔内激光治疗原发性大隐静脉曲张的疗效差别。方法 回顾性分析福建中医药大学附属人民医院2023年10月至2024年6月收治并行单侧大隐静脉曲张手术患者的临床资料。应用随机数字表法，将其分为改良导管剥脱组（n=65）和激光治疗组（n=65），改良导管剥脱组使用导丝辅助剥脱导管剥除大隐静脉主干，激光治疗组采用激光腔内消融闭合大隐静脉主干，观察两组手术时长、术中出血量、术后1周疼痛评分及术后并发症的发生情况，比较两组患者术后12个月VCSS评分及AVVQ评分情况。结果 两组在手术时长、术中出血量、术后1周的VAS疼痛评分比较上情况相当，差异均无统计学意义（P>0.05）；在并发症方面，术后出现皮下条索状硬结的病例中改良剥脱导管组少于激光治疗组，差异具有统计学意义（P<0.05）；两组患者其余术后并发症发生率相当，差异均无统计学意义（P>0.05）。术后12个月两组患者VCSS评分及AVVQ评分与本组术前相比，差异具有统计学意义（P<0.05）。结论 改良的外套式导管剥脱术具有微创、恢复快的优点，同时解决了常规导管剥脱的部分弊端，使手术过程更顺畅，该术式值得在临床上进一步推广应用。

  关键词： 大隐静脉曲张; 改良; 外套式导管剥脱; 腔内激光治疗

   

  Abstract: Objective To investigate the difference in therapeutic efficacy between modified outer sleeve catheter stripping surgery and intracavitary laser treatment for primary great saphenous varicose vein. Method Retrospective analysis of clinical data of patients admitted to the Affiliated Peoples Hospital of Fujian University of Traditional Chinese Medicine from October 2023 to June 2024 who underwent surgery for unilateral great saphenous varicose veins and randomly divided into a modified catheter stripping group (n=65) and a laser treatment group (n=65) according to the random number table method. The modified catheter stripping group used a guide wire to assist in stripping the main trunk of the great saphenous vein, while the laser treatment group used laser intracavitary ablation to close the main trunk of the great saphenous vein. The surgical duration, intraoperative blood loss, 1-week postoperative pain score, and incidence of postoperative complications were observed in both groups.Compare the VCSS and AVVQ scores of two groups of patients 12 month after surgery. Result Comparison between the two groups showed no statistically significant difference (P>0.05) in terms of surgical duration, intraoperative blood loss, 1-week postoperative pain score. There was no statistically significant difference in most of the postoperative complications (P>0.05),except the postoperative subcutaneous cord like induration which was less in modified catheter stripping group than in the laser treatment group, and the difference was statistically significant (P<0.05). There was a statistically significant difference in VCSS and AVVQ scores between the two groups of patients 12 month after surgery compared to before surgery (P<0.05).Conclusion The modified outer sleeve catheter stripping surgery has the advantages of minimally invasive and fast recovery, while solving some of the drawbacks of conventional catheter stripping, making the surgical process smoother. This technique is worthy of further promotion and application in clinical practice.

  Key words: great saphenous varicose veins; modified; outer sleeve catheter stripping; Intracavity laser treatment

  提交时间：2025-07-30

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• 序号	提交日期	编号	操作
  1	2025-06-05	bmr.202507.00078V1	下载

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