单位：[1]Department of Neurology, First Affiliated Hospital of Jiamusi University, Heilongjiang, China.[2]Department of Cardiology, China-Japan Friendship Hospital, Beijing, China.[3]Department of Vascular Surgery, Aviation General Hospital, China Medical University, Beijing, China.
Background: Foam sclerotherapy (FS) is a safe and effective approach for managing patients with varicose veins and venous ulcers in lower extremities. But, recanalization of the ablated varicose veins and phlebitis are common postoperative complications that jeopardize its clinical effects. We hypothesize that ligation of the ablated varicose veins after FS will improve the outcomes of patients with varicose veins and venous ulcer. This study was aimed to evaluate the clinical efficacy of ligation after FS in comparison with FS alone for the management of patients with varicose veins and venous ulcers in lower extremities. Methods: Eighteen patients underwent FS plus ligation (FSL) and 15 patients received FS alone. Aberdeen varicose veins questionnaire (AVVQ) and the revised venous clinical severity score (rVCSS), venous disability scores (VDSs), duplex sonography, ulcer healing rate, and ulcer healing time were documented to compare the outcomes in both groups. Results: The ulcer healing time in patients treated with FSL was shorter than that in patients who received FS (P = 0.022; log-rank test). The average healing time was significantly shorter in FSL group than in FS group (35.67 +/- 24.62 days vs. 62.86 +/- 47.43, P = 0.042). The mean rVCSS, VDS, and AVVQ at 3 months after treatment in both groups decreased significantly in comparison with baseline, respectively. There were no severe complications or side effects in both groups. Conclusions: Ligation of the treated varicose veins after FS can improve the outcomes of patients with venous ulcers in comparison with FS alone. FSL is a safe, effective, and technically feasible procedure and can be used as a day surgery.
第一作者单位：[1]Department of Neurology, First Affiliated Hospital of Jiamusi University, Heilongjiang, China.
通讯作者：
通讯机构：[2]Department of Cardiology, China-Japan Friendship Hospital, Beijing, China.[3]Department of Vascular Surgery, Aviation General Hospital, China Medical University, Beijing, China.[*1]Department of Cardiology, China Japan Friendship Hospital, Beijing, China[*2]Department of Vascular Surgery, Aviation General Hospital, China Medical University, Beijing, China
推荐引用方式(GB/T 7714)：
Li Xin,Fan Lin,Ren Shiyan,et al.Outcomes of Foam Sclerotherapy plus Ligation versus Foam Sclerotherapy Alone for Venous Ulcers in Lower Extremities[J].ANNALS of VASCULAR SURGERY.2017,45:160-165.doi:10.1016/j.avsg.2017.06.055.
APA：
Li, Xin,Fan, Lin,Ren, Shiyan&Li, Xianlun.(2017).Outcomes of Foam Sclerotherapy plus Ligation versus Foam Sclerotherapy Alone for Venous Ulcers in Lower Extremities.ANNALS of VASCULAR SURGERY,45,
MLA：
Li, Xin,et al."Outcomes of Foam Sclerotherapy plus Ligation versus Foam Sclerotherapy Alone for Venous Ulcers in Lower Extremities".ANNALS of VASCULAR SURGERY 45.(2017):160-165
