超声及DSA引导硬化治疗下肢静脉曲张的疗效对比分析

摘要 目的：对比超声及数字减影血管造影机（Digital subtraction angiography，DSA）引导泡沫硬化治疗下肢静脉曲张的临床治疗效果。方法：选取我院2015年10月到2020年10月共收治的120例下肢静脉曲张患者，将其随机分为观察组与对照组，每组60例，对照组患者应用DSA引导硬化治疗，观察组患者应用超声引导硬化治疗，对比两组患者的治疗效果，精神健康成分（Mental health components，MCS）、躯体健康成分（Physical health components，PCS）与疾病严重程度量表（Clinical severity of venous disease，VCSS）评分，住院时间与手术时间，不良反应发生情况。结果：观察组患者治疗总有效率96.67 %，高于对照组治疗总有效率86.67 %，组间对比有统计学差异（P<0.05）；两组患者治疗前MCS、PCS与VCSS评分对比无明显差异（P＞0.05），治疗后，观察组患者MCS评分高于对照组，VCSS评分低于对照组，组间对比，差异具有统计学意义（P＜0.05）；观察组患者的住院时间与手术时间，高于对照组的住院时间与手术时间，组间对比，差异具有统计学意义（P＜0.05）；观察组患者不良反应总发生率5.00 %，低于对照组患者不良反应发生率20.00 %，组间对比，差异具有统计学意义（P＜0.05）。结论：超声引导下进行下肢静脉曲张硬化治疗有显著效果，能够治愈或降低静脉曲张分级，提升静脉曲张患者的精神、躯体健康，促进患者早日康复。

Comparative Analysis of Ultrasound and DSA Guided Sclerotherapy in the Treatment of Varicose Veins of Lower Extremities

ABSTRACT Objective: To compare the clinical efficacy of Digital subtraction angiography (DSA) in the treatment of varicose veins of lower extremities with polyvinyl alcohol foam sclerotherapy. Methods: 120 patients with varicose veins of lower limbs in our hospital from October 2015 to October 2020 were selected and randomly divided into observation group and control group, with 60 cases in each group. Patients in the control group were treated with DSA-guided sclerotherapy, and patients in the observation group were treated with ultrasound-guided sclerotherapy. The treatment effect, MCS, PCs and VCSs scores, treatment cost and hospitalization time of the two groups were compared And operation time, adverse reactions. Results: The total effective rate of treatment in the observation group was 96.67 %, which was higher than the total effective rate of 86.67 % in the control group. There was a statistical difference between the groups (P<0.05). There was no significant difference in the scores of MCS, PCs and VCSs between the two groups before treatment (P>0.05). After treatment, the MCS score of the observation group was higher than that of the control group, and the VCSs score was lower than that of the control group. The hospitalization time and operation time of the observation group were higher than those of the control group, and the difference was statistically significant(P<0.05). The total incidence of adverse reactions in the observation group was 5.00 %, lower than 20.00 % in the control group, and the difference was statistically significant(P<0.05). The difference was statistically significant(P<0.05). Conclusion: Ultrasound-guided treatment of varicose veins of the lower extremities has a significant effect, which can improve the mental health, physical health and clinical severity of venous diseases of patients with varicose veins, and promote the patient''s speedy recovery.