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502, P 0.05), and pre-operative VCSS evaluation (r = -0.598, P 0.05). At the same time, there was a weak inverse relationship between SSV occlusion and the volume of foam used (r = -0.357, P 0.05). The pre-procedural VCSS score was 8.42 ± 3.25 and the post-procedural VCSS score was 7.16 ± 3.14. Deep vein thrombosis, nerve injury and other important complications did not occur. This study shows that ultrasound-guided foam sclerotherapy is a safe and effective method for symptomatic SSV insufficiency, with less adverse rea