ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ SUY GIÃN TĨNH MẠCH NÔNG CHI DƯỚI BẰNG LASER PHỐI HỢP THỦ THUẬT MULLER

Abstract

Objective The consequences of varicose veins of the lower limbs greatly affect the quality of life of patients. The objective of the study to describe the clinical and ultrasound characteristics of superficial varicose veins of the lower limbs with indications for endovenous laser  combined with the Muller’s procedure. Evaluation of the results of endovenous laser combined with the Muller procedure. Subjects and methods: A cross-sectional study on 49 patients with varicose veins of the lower limbs undergoing endovenous laser combined with Muller’s procedure at the Radiology Center of Hanoi Medical University from March 2021 to March 2023. Results: Regarding the characteristics of the study subjects, the mean age was 56,1 ± 12,63 years old, the female/male ratio was 2,5. The main clinical symptoms were varicose veins and severe leg pain with 93,33% and 90%, respectively. The clinical stage according to CEAP accounted for the majority of C2 with 61,67%. VCSS score before treatment was 6,02 ± 1,47. Before the intervention, the diameter and reflux of GSV were 6,97 ± 1,63mm, 3,56 ± 1,42s, respectively, the diameter of varicose veins treated by Muller procedure was 3,87 ± 0,38mm, diameter and reflux of SSV were 5,57 ± 1,49mm and 3,45 ± 0,82s, respectively. The embolization efficiency was 100% after the intervention, but clinical symptoms, clinical stage according to CEAP, VSCC score, and diameter decreased significantly compared to before the intervention. The procedure was safe with low rates of procedural complications immediately after the intervention and after 1 month, 3 months, and 6 months, and no severe complications were recorded. Conclusion: Endovenous laser combined with the Muller method in the treatment of varicose veins of the lower limbs is a minimally invasive method with a high success rate and minimal complications.