초록접수 현황
| 14F-269 | 포럼 발표 |
Comparative Study of Cryostripping and Endovenous Laser Therapy for Varicose Veins: Mid-term Results
이광형, 김광택, 정재호,이성호, 정재승, 손호성, 김희중, 선경, 이승헌, 김태식
Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine
Background : Cryostripping and endo-venous laser therapy(EVLT) lies among the many different therapies used in the treatment of great saphenous vein (GSV) insufficiency. Both cryostripping and laser therapy, have been reported to be less traumatic, with lower rates of complications and recurrences when compared to conventional stripping. To compare the efficacy of these treatments, we have analyzed and compared the mid-term clinical outcomes of cryostripping and endo-venous laser therapy.
Methods : Patients diagnosed with varicose veins of great saphenous veins and treated with cryostripping or laser therapy between September 2008 and April 2013, were enrolled in this study. Duplex ultrasonography was used for the diagnosis and evaluation of varicosity and reflux, and the clinical-etiology-anatomy-pathophysiology(CEAP) classification was used to measure the clinical severity. Symptoms, VCSS score, recurrence rates, complication rates of cryostripping and laser therapy groups were analyzed and compared.
Results : A total of 50 patients were enrolled in this study. 24 patients were treated with cryostripping and 26 patients were treated with laser therapy. The median follow up period was 35.8 months. Recurrences were noted in 1 patient from cryostripping group and in 2 patients from EVLT group. There was no difference in VCSS score and complication rates between cryostripping group and EVLT group.
Conclusion : The mid-term clinical outcomes of cryostripping was not inferior to EVLT. Also, considering its cost-effectiveness, it seems to be a safe and feasible method for the treatment of varicose veins.
Methods : Patients diagnosed with varicose veins of great saphenous veins and treated with cryostripping or laser therapy between September 2008 and April 2013, were enrolled in this study. Duplex ultrasonography was used for the diagnosis and evaluation of varicosity and reflux, and the clinical-etiology-anatomy-pathophysiology(CEAP) classification was used to measure the clinical severity. Symptoms, VCSS score, recurrence rates, complication rates of cryostripping and laser therapy groups were analyzed and compared.
Results : A total of 50 patients were enrolled in this study. 24 patients were treated with cryostripping and 26 patients were treated with laser therapy. The median follow up period was 35.8 months. Recurrences were noted in 1 patient from cryostripping group and in 2 patients from EVLT group. There was no difference in VCSS score and complication rates between cryostripping group and EVLT group.
Conclusion : The mid-term clinical outcomes of cryostripping was not inferior to EVLT. Also, considering its cost-effectiveness, it seems to be a safe and feasible method for the treatment of varicose veins.
책임저자: 정재호
Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine
연락처 : 이광형, Tel: 02-920-5369 , E-mail : serenelake@naver.com
