目的:本研究旨在评估无能隐静脉(ISV)治疗后的生活质量变化和并发症发生率是否存在差异。
方法:纳入2016年7月至2021年7月接受ISV治疗的患者,分为两组:无深静脉反流(DVR)患者和SPVR患者。轴向DVR患者,深静脉血栓形成(DVT)病史,骨科手术史,以前的静脉治疗,术后随访未被排除在研究之外.术前以及术后6个月和12个月进行双重超声检查。
结果:该研究包括233名患者(398条肢体),和50(64肢)有SPVR。没有观察到性别差异,年龄,体重指数(BMI),根据临床-病因-解剖-生理学(CEAP)分类的临床类别分布,偏侧性,治疗方法,术前静脉临床严重程度评分(VCSS)或阿伯丁静脉曲张问卷(AVVQ)评分,两组采用SPVR或不采用DVR。此外,两组术后6个月和12个月的VCSS和AVVQ评分均有改善,但无显著差异.基于SPVR的存在,两组之间的术后并发症发生率没有显着差异(1.8%vs.1.6%:p=1.00)。ISV治疗后SPVR改善率为25%(16/64),与患者报告的结果相比,SPVR改善了独立于治疗方式的患者,大隐静脉治疗部分,术后SPVR改善。
结论:在存在SPVR的情况下,ISV治疗后并发症发生率和临床结果没有差异。在合并SPVR的患者中,ISV治疗后,无论治疗方式如何,生活质量都得到了改善,大隐静脉治疗部分,术后SPVR改善。
OBJECTIVE: This study aimed to evaluate whether differences exist in the quality of life changes and complication rates after treatment of incompetent saphenous vein (ISV) based on the presence of segmental popliteal vein reflux (SPVR).
METHODS: Patients who underwent treatment for ISV from July 2016 to July 2021 were included and divided into two groups: patients without deep venous reflux (DVR) and patients with SPVR. Patients with axial DVR, a history of deep vein thrombosis, a history of orthopedic surgery, previous venous treatment, and no postoperative follow-up were excluded from the study. Duplex ultrasound examination was performed preoperatively and at 6 and 12 months postoperatively.
RESULTS: The study included 233 patients (398 limbs), and 50 (64 limbs) had SPVR. Differences were not observed in gender, age, body mass index, distribution of clinical class according to Clinical-Etiology-Anatomy-Physiology classification, laterality, treatment method, and preoperative Venous Clinical Severity Score or Aberdeen Varicose Vein Questionnaire scores between the two groups with SPVR or without DVR. Furthermore, the Venous Clinical Severity Score and Aberdeen Varicose Vein Questionnaire scores at 6 and 12 months postoperatively were improved in both groups, although without significant differences. A significant difference was not observed in the rate of postoperative complications between the groups based on the presence of SPVR (1.8% vs 1.6%: P = .896). The SPVR improvement rate after ISV treatment was 25% (16/64), and patient-reported outcomes in patients combined with SPVR improved independent of treatment modality, saphenous vein treatment section, and postoperative SPVR improvement.
CONCLUSIONS: Complication rates and clinical outcomes after ISV treatment did not differ in the presence of SPVR. In patients with SPVR, after ISV treatment, quality of life improved regardless of treatment modality, saphenous vein treatment section, and postoperative SPVR improvement.