静脉定位仪引导下肢网状静脉与毛细血管扩张症硬化治疗效果评价.doc

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1、静脉定位仪引导下肢网状静脉与毛细血管扩张症硬化治疗效果评价［摘要］目的探讨ACCUVETNAV400静脉定位仪引导下肢网状静脉与毛细血管扩张症的硬化治疗方法及疗效。方法选择2015年6〜8月在河北医科大学第一医院诊断为下肢网状静脉与毛细血管扩张症的患者49例,将其随机分为两组。治疗组在ACCUVETNAV400静脉定位仪引导下静脉注射泡沫或液体硬化剂，加压治疗，对照组直接注射泡沫或液体硬化剂。分析比较两组患者的治疗效果、治疗满意度和并发症等情况。结果两组患者治疗效果比较差异无统计学意义(tRidit二1.261,P=0.211),但是治疗组的治疗效果平均秩次(R1二0.541)略高于

2、对照组(R2二0.459)o两组患者治疗满意度比较差异有统计学意义(tRidit二2.943,P=0.004),治疗组的治疗满意度平均秩次(R1=0.561)明显高于对照组(R2二0.439两组患者均发生不同程度的并发症，但治疗组并发症少于对照组。结论ACCUVEINAV400静脉定位仪引导下肢网状静脉与毛细血管扩张症的硬化治疗能达到精准可视化硬化，穿刺成功率高，并发症少，更加方便、快捷、安全有效。［关键词］静脉定位仪；硬化剂治疗；下肢；网状静脉；毛细血管扩张症［中图分类号］R543.7［文献标识码］A［文章编号］1673-7210(2016)07(b)-0072-04[Abstra

3、ct]ObjectiveToinvestigatetheeffectofsclerotherapyforreticularveinsandtelangiectasiaoflowerlimbsundertheguidanceofACCUVEINAV400veinlocator.MethodsForty-ninepatientsdiagnosedasreticularveinsandtelangiectasiaof1owerlimbsintheFirstHospitalofHebeiUniversityfromJunetoAugust2015wereselectedandrandomly

4、dividedintotwogroups.ThetreatmentgroupreceivedfoamorliquidhardenerbyintravenousinjectionundertheguidaneeofACCUVEINAV400veinlocator,thecontrolgroupreceivedfoamorliquidhardenerinjection.Thetherapeuticeffect,treatmentsatisfactionandcomplicationsbetweenthetwogroupswereanalyzedandcompared.ResultsThe

5、therapeuticeffectbetweenthetwogroupshadnostatistickilysignificantdifference(tRidit二1.261,P二0.211),butthemeanrankoftreatmentgroup(R1二0.541)wasslightlyhigherthanthatofthecontrolgroup(R2=0.459)；thetreatmentsatisfactionbetweenthetwogroupshadstatisticallysignificantdifferenee(tRidit二2.943,P二0.004),a

6、ndthemeanrankofthetreatmentgroup(R1=0.561)wassignificantlyhigherthanthatofthecontrolgroup(R2二0.439)；bothgroupshadvaryingdegreesofcomplications,butthecomplicationsinthetreatmentgroupwaslessthanthatofthecontrolgroup.ConclusionThesclerotherapyforreticularveinsandtelangiectasiaof1owerlimbsundertheg

7、uidaneeofACCUVEINAV400veinlocatorcanachieveprecisevisualizationsclerosis,withhighersuccessrateofpuncture,fewercomplications,whichismoreconvenient,fast,safeandeffective・[Keywords]Veinlocator；Sclerotherapy；Lowerlimbs；Reticularveins；