Retrospective Study of Three Surgical Methods in the Treatment of Varicose Vein of Lower Limb

Xu Gaosheng; Zhang Longlong; Miao Xinquan

doi:10.3969/j.issn.1004-5775.2025.03.011

Abstract：Objective:To explore the retrospective study of three surgical methods in the treatment of varicose vein of lower limb.Methods:A total of 88 patients with varicose vein of lower limb in the hospital were enrolled from June 2018 to May 2023.According to different treatment methods,they were divided into thermal ablation group(35 cases,intravenous thermal ablation),high ligation group(27 cases,high ligation of great saphenous vein)and traditional stripping group(26 cases,traditional stripping).Patients in the internal heat ablation group were treated with intravenous heat ablation,patients in the high ligation group were treated with high ligation of the great saphenous vein,and patients in the traditional exfoliation group were treated with traditional exfoliation.The operation time,intraoperative blood loss and hospitalization time,response rate of treatment,scores of visual analogue scale(VAS)and the incidence of adverse reactions(stasis dermatitis,superficial phlebitis,saphenous nerve damage)after surgery were compared among the three groups.Results:7 days after surgery,the effective rate of internal heat ablation group and high ligation group was higher than that of traditional exfoliation group,and the difference was statistically significant(x2=8.748,P＜0.05).The operation duration and hospital stay in the internal heat ablation group were shorter than those in the high ligation group and the traditional exfoliation group,and the intraoperative blood loss was less than that in the high ligation group and the traditional exfoliation group.The difference was statistically significant(F=13.34,P＜0.05).24 h and 3 d after surgery,VAS scores in the internal heat ablation group were lower than those in the high ligation group and the traditional exfoliation group,with statistically significant difference(F=1.02,P＜0.05).After surgery,the incidence of complications of stasis dermatitis,superficial phlebitis and saphenous nerve damage in the internal heat ablation group and high ligation group was lower than that in the traditional exfoliation group,with statistically significant difference(x2=7.441,P＜0.05).Conclusion:Intravenous thermal ablation and high ligation of great saphenous vein can improve response rate of treatment,and reduce the incidence of postoperative complications in patients with varicose vein of lower limb.Intravenous thermal ablation can also relieve postoperative pain and promote postoperative recovery of patients.