原发性静脉曲张射频消融术的美容效果评估

Mostafa Abd Elwahab, El-sayed A. Abd El-Mabood, Ahmed Abd Elsamai, Mohammed A. Waly
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摘要

:背景:静脉曲张是一种常见的血管疾病,通常会影响美观并降低生活质量。射频消融术已成为治疗原发性静脉曲张的有效干预方法,可同时解决医疗和美容方面的问题。本研究旨在评估射频消融治疗原发性静脉曲张的美容效果,包括生活质量(QoL)。患者和方法这项前瞻性介入研究针对 40 名确诊为原发性静脉曲张的患者。对患者进行了射频消融术,并使用各种参数对患者进行了评估,包括 CEAP 分类、视觉模拟疼痛量表和生活质量测量。研究结果研究对象的平均年龄为(33.13 ± 5.5)岁,其中男性占 35%,女性占 65%。术中和术后疼痛评分(VAS)差异显著。平均住院时间为(14.00 ± 7.00)小时,恢复正常活动时间为(4.27 ± 1.31)天,恢复工作时间为(7.10 ± 1.83)天。术前和术后的 QoL 参数差异显著。在单变量和多变量相关回归分析中,QoL 参数与年龄、CEAP、VDS 和 VAS 之间存在明显的相关性。结论射频技术是治疗躯干静脉反流的有效、安全且副作用较小的方法。射频消融治疗的术后恢复时间通常较短,有利于尽早恢复工作和正常活动。
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Evaluation of Cosmetic Effect of Radio Frequency Ablation of Primary Varicose Veins
: Background: Varicose veins are a common vascular disorder, often causing cosmetic concerns and decreased quality of life. Radiofrequency ablation has emerged as an effective intervention for primary varicose veins, addressing both medical and cosmetic aspects. This study aimed to evaluate the cosmetic effect of radio frequency ablation of primary varicose veins including quality of life (QoL). Patients and methods: This prospective interventional study was conducted on 40 patients diagnosed with primary varicose veins. Radiofrequency ablation was performed, and patients were assessed using various parameters, including CEAP classification, visual analogue pain scale, and quality of life measures. Results: The study included individuals with a mean age of 33.13 ± 5.5, comprising 35% males and 65% females. Intraoperative and post-procedure Pain scores (VAS) exhibited highly significant differences. The mean hospital stay was 14.00 ± 7.00 hours, the return to normal activity took 4.27 ± 1.31 days, and the return to work required 7.10 ± 1.83 days. Significant differences were observed between Preoperative and Post procedure in terms of the QoL parameter. Strong significant correlations between QoL parameter and age, CEAP, VDS, and VAS were evident in univariate and multivariate correlation regression analyses. Conclusions: Radiofrequency technologies are, effective and safe treatments for truncal venous reflux with less side effects. Radio Frequency Ablation treatments have typically short post-procedural recovery times facilitating early return to work and normal activity.
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