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.docVIP

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ACCUVEIN AV400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ACCUVEIN AV400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 = 1.261，P = 0.211），但是治疗组的治疗效果平均秩次（R1 = 0.541）略高于对照组（R2 = 0.459）。两组患者治疗满意度比较差异有统计学意义（tRidit = 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 = 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 ACCUVEIN AV400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 [Abstract] Objective To investigate the effect of sclerotherapy for reticular veins and telangiectasia of lower limbs under the guidance of ACCUVEIN AV400 vein locator. Methods Forty-nine patients diagnosed as reticular veins and telangiectasia of lower limbs in the First Hospital of Hebei University from June to August 2015 were selected and randomly divided into two groups. The treatment group received foam or liquid hardener by intravenous injection under the guidance of ACCUVEIN AV400 vein locator， the control group received foam or liquid hardener injection. The therapeutic effect， treatment satisfaction and complications between the two groups were analyzed and compared. Results The therapeutic effect between the two groups had no statistically significant difference （tRidit = 1.261， P = 0.211）， but the mean rank of treatment group （R1 = 0.541） was slightly higher than that of the control group （R2 = 0.459）； the treatment satisfaction between the two groups had statistically significant difference （tRidit = 2.943， P = 0.004）， and the mean rank of the treatment group （R1 = 0.561） was significantly higher than that of the control group （R2 = 0.439）； both groups had varying degrees of complications， but the complications in the treatment group was less than that of the control group. Conclusion The sclerotherapy for reticular veins and telangie