Clinical efficacy of ultrasound-guided percutaneous suture ligation combined with sclerotherapy for great saphenous vein varicosities
Ma Ziliang
Sun Zhiyu
Gongsheng
Baiyang
Hao Guoqiang
Abstract：Objective Exploring the clinical value of ultrasound-guided percutaneous high ligation of the great saphenous vein trunk combined with sclerotherapy injection for the treatment of primary great saphenous vein(GSV)varicosities.Methods A retrospective analysis was conducted on 60 patients with unilateral primary GSV varicosities admitted to Jiangdu People's Hospital Affiliated to Yangzhou University.The observation group(30 cases)underwent ultrasound-guided percutaneous trunk ligation combined with polidocanol foam sclerotherapy injection;the control group(30 cases)underwent ultrasound-guided GSV radiofrequency ablation combined with venous injection of sclerosant.The two groups were compared in terms of surgical efficacy(trunk closure rate,symptom relief rate),safety(complications,intraoperative blood loss,postoperative visual analogue scale(VAS)score),and health economic indicators(hospitalisation duration,costs).Results In terms of efficacy,the six-month trunk closure rate in the observation group was 80.00%(24/30),with a symptom relief rate of 96.67%(29/30).;while the control group had a six-month main trunk closure rate of 86.67%(26/30)and a symptom relief rate of 93.33%(28/30).The differences in main trunk closure rate and symptom relief rate between the two groups were not statistically significant(P>0.05).Regarding safety,there were no statistically significant differences in intraoperative blood loss or postoperative VAS scores between the observation group and the control group(P>0.05).Furthermore,the incidence of complications showed no statistically significant difference between the two groups(P>0.05).In terms of health economics indicators,the observation group demonstrated significantly shorter hospital stays and lower hospitalization costs compared to the control group(P<0.05).Conclusion Ultrasound-guided percutaneous suturing combined with sclerotherapy demonstrated no statistically significant difference in efficacy compared to radiofrequency ablation combined with sclerotherapy for treating great saphenous vein varicosities.Moreover,it offers the advantages of being minimally invasive and cost-effective,making it more readily adoptable in primary care hospitals.
Keywords：Great saphenous vein varicosityUltrasound guidancePercutaneous ligationFoam sclerosantPolidocanol
Publication Date：2025-04-20
Online Publishing Date：2025-11-20(First online date of this platform, not the publication date of the document)
Pages：5( 71-75 )