Clinical outcomes of radiofrequency ablation using a radiofrequency needle device for varicose ulcer: A non-randomized controlled prospective study

Author:

Wang Huanwei12,Guo Jianqin3,Hua Guoyong4,Qi Lina4,Zhang Yuying2,Ye Bin5,Yan Jingxin6ORCID,Zhang Lushun7

Affiliation:

1. Department of Ultrasonography, Hainan General Hospital/Hainan Affiliated Hospital of Hainan Medical University, Haikou, China

2. Department of Ultrasound Medicine, Qinghai Provincial People’s Hospital, Xining, China

3. Department of Interventional Ultrasound, The First Affiliated Hospital of Hainan Medical University, Haikou, China

4. Department of Interventional Ultrasound, Qinghai Provincial People’s Hospital, Xining, China

5. Department of General Surgery, Rongxian People’s Hospital, Zigong, China

6. Sichuan University, West China Hospital, Chengdu, China

7. Department of Pathology and Pathophysiology, Development and Regeneration Key Laboratory of Sichuan Province, Chengdu Medical College, Chengdu, China

Abstract

Objective To evaluate the short-term clinical outcomes of radiofrequency ablation (RFA) using a radiofrequency (RF) needle device for varicose ulcers. Methods From September 2020 to September 2021, a total of 80 patients with varicose ulcers were included in this study. Based on the different surgical methods, the patients were divided into RF group and control groups, with 40 cases in each group. In the RF group, RFA was performed using an RF needle device and foam sclerotherapy was used for superficial veins. The control group was treated with conventional high-ligation stripping. The surgical data, hospitalization data, clinical efficacy, and postoperative complications of two groups were compared. Meanwhile, the correlation between RBC, HB, HCT, and ulcer healing time was analyzed. Results Compared to the control group, RF group had shorter surgery time, duration in the hospital, and less intraoperative bleeding ( p < .05). The VCSS and CIVIQ scores in RF group were significantly higher than that in control group ( p < .05). The healing time of ulcers was shorter in the RF group ( x2 = 19.766, p = .000). The RF group had fewer postoperative complications. There was a positive correlation between RBC, HB, and HCT, and ulcer healing time ( p < .05). Conclusion The use of the RF needle device for RFA to treat patients with varicose ulcers showed acceptable short-term clinical outcomes with less incidence of trauma, faster recovery, and fewer complications.

Publisher

SAGE Publications

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