摘要
目的 比较两种不同经皮穿刺方法泡沫硬化治疗下肢静脉曲张的效果。方法 回顾性分析2015年10月至2020年12月我院收治的43例(47条患肢)下肢静脉曲张患者的临床资料,以治疗方法不同将其分为A组(22例,24条患肢)和B组(21例,23条患肢)。A组采用先站立位直视下留置针穿刺、留置,后在平卧位数字减影血管造影(DSA)透视下泡沫硬化治疗下肢静脉曲张;B组采用平卧位头皮针直接穿刺、DSA透视下泡沫硬化治疗下肢静脉曲张。比较两组的治疗效果。结果 A组的治疗优良率、穿刺成功率均高于B组(P<0.05)。术后6个月,A组的静脉临床严重程度评分(VCSS)评分低于B组,生活质量综合评定问卷-74(GQOLI-74)评分高于B组(P<0.05)。两组的并发症总发生率无明显差异(P>0.05)。结论 先行站立位直视下留置针穿刺并留置,而后在平卧位DSA透视下泡沫硬化治疗下肢静脉曲张的优良率和穿刺成功率更高,能够更好地改善静脉曲张程度及患者的生活质量。
Objective To compare the effects of two different percutaneous puncture methods of foam sclerotherapy in the treatment of varicose veins of lower extremities.Methods The clinical data of 43 patients(47 limbs)with varicose veins of lower extremities admitted in our hospital from October 2015 to December 2020 were retrospectively analyzed.According to different treatment methods,the patients were divided into group A(22 cases,24 limbs)and group B(21 cases,23 limbs).The group A was treated with indwelling needle puncture and indwelling under direct vision in standing position,and then foam sclerotherapy under digital subtraction angiography(DSA)fluoroscopy in supine position was used to treat varicose veins of lower extremities;the group B was treated with foam sclerotherapy under DSA fluoroscopy by direct puncture of scalp needle in supine position for varicose veins of lower extremities.The therapeutic effects of the two groups were compared.Results The excellent and good rate of treatment and success rate of puncture in the group A were higher than those in the group B(P<0.05).At 6 months after operation,the Venous Clinical Severity Score(VCSS)score of the group A was lower than that of the group B,and the Generic Quality of Life Inventory-74(GQOLI-74)score was higher than that of the group B(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion The excellent and good rate and puncture success rate of indwelling needle puncture and indwelling under direct vision in standing position and then foam sclerotherapy under DSA fluoroscopy in supine position in the treatment of varicose veins of lower extremities are higher.The method can better improve the degree of varicose veins and the quality of life of patients.
作者
邹容
狄镇海
刘文新
谭中宝
王庆庆
毛学群
张建
ZOU Rong;DI Zhenhai;LIU Wenxin;TAN Zhongbao;WANG Qingqing;MAO Xuequn;ZHANG Jian(Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China)
出处
《临床医学研究与实践》
2024年第28期79-82,共4页
Clinical Research and Practice
关键词
泡沫硬化
下肢静脉曲张
数字减影血管造影
foam sclerotherapy
varicose veins of lower extremities
digital subtraction angiography
