Back to Search
Start Over
Comparison of two ablation procedures combined with high ligation and foam sclerotherapy and compression therapy for patients with venous leg ulcers.
- Source :
-
Postgraduate medicine [Postgrad Med] 2024 Jun; Vol. 136 (5), pp. 514-522. Date of Electronic Publication: 2024 Jun 13. - Publication Year :
- 2024
-
Abstract
- Aim: To compare the ablation techniques' efficacy of endovenous microwave ablation (EMA) combined with high ligation (HL), foam sclerotherapy (FS) and compression therapy (CT) and endovenous laser ablation (EVLA) combined with HL-FS-CT in the treatment of VLUs.<br />Method: 301 consecutive patients with VLUs from 2013 to 2022 in a 3200-bed hospital were intervened by EMA combined with HL-FS-CT and EVLA combined with HL-FS-CT were retrospectively compared.<br />Results: One hundred thirty-four patients underwent EMA+HL-FS-CT and 167 patients underwent EVLA+HL-FS-CT. The primary outcome of the ulcer healing time was 1.45(0.75-1.5) months and 1.86(0.5-2.5) months, respectively, in the two groups (HR for ulcer healing was 1.26, 95% CI [0.96-1.66], p = 0.097). Secondary outcomes included that no significant difference was found in ulcer recurrence and GSV recanalization and complications between the two groups, and the postoperative VCSS and AVVQ were significantly lower than the baseline values in the respective groups ( p = 0.0001).<br />Conclusion: EMA+HL-FS-CT and EVLA+HL-FS-CT are both effective at treating VLUs. Both of the two comprehensive treatments were beneficial to the healing of ulcers, but no evidence showed which one was superior in the ulcer healing time.
- Subjects :
- Humans
Female
Male
Middle Aged
Retrospective Studies
Ligation methods
Aged
Laser Therapy methods
Wound Healing
Treatment Outcome
Combined Modality Therapy
Ablation Techniques methods
Microwaves therapeutic use
Compression Bandages
Sclerotherapy methods
Varicose Ulcer therapy
Varicose Ulcer surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1941-9260
- Volume :
- 136
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Postgraduate medicine
- Publication Type :
- Academic Journal
- Accession number :
- 38861319
- Full Text :
- https://doi.org/10.1080/00325481.2024.2366155