RESUMO
Objective To investigate and analyze the effect of polyurethane foam sclerotherapy on varicose veins of lower extremity under the guidance of fluoroscopy. Methods 90 patients with varicose veins treated in our hospital from February 2015 to May 2017 were selected and randomly divided into the control group and the experimental group, with 45 patients in each group. The patients in the control group were given conventional high ligation and stripping of the great saphenous vein. The patients in the experimental group were treated with fluoroscopic guided polyurethane foam sclerotherapy. The therapeutic effects of the 2 groups were compared and analyzed. Results After operation, 2 patients relapsed in the experimental group, and the recurrence rate was 4.4％. In the control group, 6 patients relapsed. The recurrence rate (13.3％) in the control group was significantly higher than that in the experimental group, with statistical difference. After the corresponding treatment, the intraoperative blood loss in the experimental group was (10.23±1.52) mL, and the bleeding volume in the control group was (32.19±2.34) mL. The bleeding volume in the experimental group was significantly less than that in the control group, with statistical difference. In addition, the average length of stay, length of operation and length of incision in the experimental group were significantly better than those in the control group, with statistical difference. Conclusion The clinical effect of fluoroscopy guided lauromacrogol foam sclerosing agent in the treatment of varicose vein of lower limb is better, the recurrence rate is low, can significantly reduce the amount of bleeding, shorten operation time, has clinical significance.
RESUMO
Objective To evaluate the clinical effect of interventional catheter electric coagulation combined with high ligation of the great saphenous vein on varicose veins of lower extremity.Methods The clinical characteristics of 86 patients (92 lower extremity) with varicose veins of the great saphenous vein were treated by interventional catheter electric coagulation combined with high dligation from April 2009 to May 2012 admitted in our hospital were retrospectively analyzed,and the effects of treatment and complication and patients' recovery were observed.Results The total effective ratio of all the 92 lesions of 86 patients was 100％,in which 88 lesions were curative and 4 lesions were effective.The average hospitalization duration was (3.2 ± 2.4) days,and patients were completely cured after 3-8 weeks of postoperation.The occurrence of complications for bumhurt were in 58 lesions,ecchymosis in 15 lesions and paralysis in 2 leisons.The average follow-up duration of all the patients was (21.6 ± 9.6) months,and no local recurrence and complication was found.Conclusion Interventional catheter electric coagulation combined with high ligation of the great saphenous vein is a safe,effective and convenient and minimal invasive therapy for Varicose veins of lower extremity.