Abstract: Objective To compare the short-term outcomes of the Havst catheter-assisted stripping technique versus conventional stripping for trunk of great saphenous vein （GSV）. Methods We retrospectively analyzed clinical data from 80 consecutive patients with great saphenous vein （GSV） varicosities who underwent surgical treatment in our department between January 2025 and June 2025. Patients were equally allocated into two groups （n=40 each）： the external stripping group （high ligation of the great saphenous vein + trunk stripping in the thigh + stab phlebectomy in the calf） and the conventional stripping group （high ligation + trunk stripping in the thigh + stab phlebectomy in the calf）. The two groups were compared across multiple parameters： age and sex distribution, clinical severity （CEAP classification）, thigh-level incision length, GSV trunk stripping time （including tumescent anesthesia administration）, length of hospital stay, surgical pain score, and thigh ecchymosis area on postoperative Day 3. Results No statistically significant differences were observed between the external stripping group and conventional stripping group regarding age, gender distribution, clinical classification （CEAP）, length of hospital stay,surgical pain score,and thigh ecchymosis area on postoperative Day 3. （all P> 0.05）. The external stripping group demonstrated significantly shorter incision lengths and reduced stripping times compared to the conventional group （both P< 0.001）. Conclusion The Havst catheter system enables minimally invasive stripping of the great saphenous vein （GSV） trunk through a single small incision, with significantly improved procedural efficiency.

Key words: varicose saphenous vein, Havst catheter, short-term outcomes

摘要： 目的 通过对Havst导管剥脱大隐静脉曲张主干与传统剥脱术进行对比,观察两种不同术式短期疗效的差异。方法 收集本科室2025年1月至2025年6月期间手术治疗的80例大隐静脉曲张患者相关资料,分别为外剥脱组（大隐静脉高位结扎+大腿主干剥脱+小腿点剥切除术）40例及传统剥脱组（大隐静脉高位结扎+大腿主干剥脱+小腿点剥切除术）40例。对两组患者年龄、性别、临床分级、大腿段切口长度、剥脱主干时间（含注射肿胀液时间）、住院天数、手术疼痛评分、术后第3天的大腿段瘀斑面积等方面进行比较。结果 外剥脱组与传统剥脱组在年龄、性别、临床分级、住院天数、手术疼痛评分、术后第3天的大腿段瘀斑面积方面的差异无统计学意义（P>0.05）;外剥脱组的切口长度及剥脱时间均短于传统剥脱组,差异具有统计学意义（P<0.001）。结论 Havst导管可通过单一小切口快速、微创地剥脱大隐静脉主干。

关键词: 大隐静脉曲张, Havst导管, 短期疗效