JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE) ›› 2021, Vol. 41 ›› Issue (10): 1308-1312.doi: 10.3969/j.issn.1674-8115.2021.10.006

• Clinical research • Previous Articles     Next Articles

Analysis of the efficacy of endovascular thermal ablation (980 nm laser) combined with foam sclerotherapy in day surgery for lower extremity varicose vein

Yong-chuan LI1(), Xin-wu LU2(), Zhi-hua ZHANG2, Jin-bao QIN2, Xing ZHANG2   

  1. 1.Department of General Surgery, The First Hospital of Xuzhou Mining Group, Xuzhou 221131, China
    2.Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2021-10-28 Published:2021-09-13
  • Contact: Xin-wu LU E-mail:lychok168@163.com;luxinwu@sjtu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(81971758)

Abstract: Objective

·To compare and analyze the therapeutic effect of 980 nm laser endovascular thermal ablation (EVTA) combined with foam sclerotherapy on day surgery (local anesthesia) and high ligation of great saphenous vein+810 nm laser EVTA combined with foam sclerotherapy on inpatient surgery (general anesthesia) for patients with lower extremity varicose vein.

Methods

·Data of the patients who underwent the above different surgical procedures respectively in the Department of General Surgery, The First Hospital of Xuzhou Mining Group from March 2019 to March 2020 were retrospectively analyzed, including 111 day surgery patients (980 nm group) and 107 inpatient surgery patients (810 nm group). The baseline data, postoperative data and follow-up data were collected, and the differences between the two groups were compared.

Results

·There was no significant difference between the two groups in baseline data and follow-up data. After operation, the 980 nm group was better than the 810 nm group in pain score, duration of pain, the proportion of using painkillers, the time required to resume daily life and economic cost (all P<0.05).

Conclusion

·Endovascular thermal ablation (980 nm laser) combined with foam sclerotherapy in the day surgery for lower extremity varicose vein has certain advantages in postoperative comfort, hospitalization time and cost, which will provide a new option for patients who are not suitable for general anesthesia.

Key words: 980 nm laser, lower extremity varicose vein, day surgery, foam sclerotherapy

CLC Number: