Comparison of one-year outcomes and quality of life between radiofrequency ablation and microwave ablation in the treatment of lower extremity varicose veins: A retrospective cohort study.

Junyu Zhang, Yao Lin, Lifeng Zhang, Caijuan Geng, Wei Huang, Qifan Yang, Wei Zeng, Chunshui He
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Abstract

Objective: This study compared the outcomes of radiofrequency ablation (RFA) and microwave ablation (EMA) for treating lower limb varicose veins.

Methods: Patients who underwent RFA (n = 240) or EMA (n = 209) at our institute from December 2020 to August 2022 were included in this retrospective investigation. Follow-up outcomes included active vein occlusion rate, Venous Clinical Severity Score (VCSS), the Aberdeen Varicose Vein Questionnaire (AVVQ), and Chronic Insufficiency Venous Quality of Life questionnaire-14 (CIVIQ-14)score.

Results: There was no significant difference in the active vein occlusion rate between the two groups after the operation (p > .05). Compared to pre-surgery scores, both groups showed substantial improvement in VCSS, AVVQ, and CIVIQ-14 scores(p < .05), there was no significant difference in these scores in either group (p > .05).

Conclusion: Intravenous radiofrequency and microwave ablation effectively improve the quality of life for patients with lower limb varicose veins, with low post-operative complication and recurrence rates.

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射频消融与微波消融治疗下肢静脉曲张的一年疗效和生活质量比较:回顾性队列研究。
目的:比较射频消融术(RFA)和微波消融术(EMA)治疗下肢静脉曲张的效果:本研究比较了射频消融术(RFA)和微波消融术(EMA)治疗下肢静脉曲张的效果:2020年12月至2022年8月期间在我院接受射频消融术(RFA)(n = 240)或微波消融术(EMA)(n = 209)的患者被纳入此次回顾性调查。随访结果包括活动性静脉闭塞率、静脉临床严重程度评分(VCSS)、阿伯丁静脉曲张问卷(AVVQ)和慢性静脉功能不全生活质量问卷-14(CIVIQ-14)评分:结果:术后两组患者的活动静脉闭塞率无明显差异(P > .05)。与术前评分相比,两组患者的 VCSS、AVVQ 和 CIVIQ-14 评分均有显著改善(P < .05),但两组患者的这些评分均无明显差异(P > .05):结论:静脉射频和微波消融术能有效改善下肢静脉曲张患者的生活质量,术后并发症和复发率较低。
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