A Prospective Randomized Study Comparing Polidocanol Foam Sclerotherapy with Surgical Treatment of Patients with Primary Chronic Venous Insufficiency and Ulcer

摘要: Background To compare polidocanol foam sclerotherapy with surgical treatment of patients primary chronic venous insufficiency and active ulcer treated at a single vascular center. Methods Fifty-eight limbs 56 ulcers were prospectively randomized to undergo either or sclerotherapy. Patients completed the Aberdeen Varicose Veins Questionnaire (AVVQ), Venous Clinical Severity Score (VCSS), Disability (VDS). The follow-up was 502 ± 220 days. Results healed in 100% 91.3% surgery sclerotherapy, respectively (P > 0.05). There no significant differences AVVQ, VCSS, VDS between 2 groups after procedures (P = 0.45, 0.58, 0.66, respectively; Mann–Whitney U test). Complications occurred 14.2% 13.0% groups, respectively. Conclusions Surgical achieved high rates healing, without statistically difference. Both treatments led improvements VDS, AVVQ scores, demonstrating clinical outcomes quality life.