Study Of The Clinical Application Of Minimally Invasive Treatment Of Varicose Veins

Objective:To explore a reasonable minimally invasive treatment suitable for people of varicose veins treatment programs to improve the level of China’s treatment of varicose veins.Methods:1002 patients (1194 limbs) in our hospital for surgical treatment of patients with great saphenous vein surgery were divided into six groups. Saphenous vein ligation endarterectomy group (control group 1),168 patients (204 limbs); Catheter electrocoagulation group (group 2) 186 patients (215 limbs); RF cavity closed surgery group (group 3) 153 patients (186 limbs); The cavity RF closed surgery combined with foam sclerotherapy group (group 4) 169 patients (199 limbs); Catheter coagulation surgery combined with foam sclerotherapy group (group 5) 147 patients (174 limbs); Catheter coagulation combined with percutaneous superficial vein ligation group (group 6) 179 patients (216 limbs). Compare these six groups of patients in the operative time, blood loss, postoperative hospital stay, postoperative complications (thigh bruising,leg bruising, skin burns, wound hematoma, numbness of the skin, swelling of the lower extremities) in January after recovery(swelling of the lower limb, lower limb weakness, pigmentation, ulcer), one year after the recurrence rate and other indicators of difference. Analysis and comparison of these parameters to compare the six surgical methods in the treatment of saphenous varicose veins.Result1. six groups of patient gender, age, the difference was not statistically significant (P> 0.05), comparable.2.six groups compared to the patient’s condition was no significant difference (P> 0.05), comparable.3. operation time:Catheter coagulation joint foam sclerotherapy group for a minimum of (28 ± 12) min, six groups of operative time difference was statistically significant (P <0.05), catheter coagulation surgery combined with foam sclerotherapy group can shorten the operationtime.4. intraoperative blood loss:After five blood loss was not statistically significant (P> 0.05); After five groups with the first group was statistically significant (P<0.05), after explaining the five groups can reduce blood loss.5.postoperative hospital stay:Catheter coagulation surgery combined with foam sclerotherapy group was the shortest (2.3 ± 1.1) days, but after five groups was not statistically significant (P> 0.05); After five groups with the first group was statistically significant (P<0.05), after explaining the five groups can be shortened postoperative hospital stay.6. postoperative complications:Group 2,3,4,5,6 complications include skin burns, wound hematoma, numbness of the skin, swelling of the lower limbs was not statistically significant (P> 0.05); Group 3 compared with other groups to reduce thigh bruising, the incidence of leg petechiae (P<0.05); After the five groups compared with the first group of postoperative complications was statistically significant (P<0.05), can reduce postoperative complications after explaining the five groups.7. January after recovery:Six groups after January restore the index leg swelling, leg fatigue, pigmentation, skin ulcers compared, was not statistically significant (P> 0.05).8. Recurrence rate after one year:These six groups after one year recurrence rate was not statistically significant (P> 0.05).Conclusion:Saphenous vein catheter coagulation joint short-term clinical efficacy of foam sclerotherapy group+social and economic benefits than the other five groups surgical methods.