摘要
目的探究足底静脉穿刺在直接法下肢静脉CTV成像中的可行性和临床价值。方法回顾性分析2021年1月至12月在我院行下肢静脉CTA患者的影像资料,共86例(男性38例,女性48例,年龄18岁-86岁,平均年龄58.81±6.79岁)。按照穿刺部位分为两组,A组为足背无法进行穿刺而选择在足底静脉穿刺的患者,B组为常规足背静脉穿刺患者。其中A组35人,B组51人。两组患者进行双下肢CTV检查后统计检查成功率、穿刺后舒适度,再分别对两组图像采用双盲法进行主观质量评分并进行统计。结果A组患者一次穿刺成功率为93.21%,B组为94.23%,无显著差异(P>0.05);A组患者穿刺完舒适度得分为8.71±0.86分,B组为8.43±1.04分,两组患者穿刺后舒适度无显著差异(P>0.05);A组图像质量优秀率为85.71%,B组为86.27%,结果无显著差异(P>0.05)。结论足底静脉穿刺在直接法下肢静脉CTV检查中,可以保证成功率和舒适度,并与足背穿刺法获得的图像质量无显著差异,可以满足诊断,在患者足背条件无法达到穿刺要求时可选用该方法完成检查,值得在临床推广。
Objective To explore the feasibility and clinical value of plantar vein puncture in direct CTV imaging of lower extremity veins.Methods The imaging data of patients who underwent CTA of lower extremity veins in our hospital from January to December 2021 were retrospectively analyzed,a total of 86 cases(38 males,48 females,aged 18-86 years,mean age 58.81±6.79 years old).According to the puncture site,they were divided into two groups.Group A was the patients who were unable to perform puncture on the dorsum of the foot and chose to puncture the plantar vein,and group B was the patients with routine dorsal venipuncture.Among them,there were 35 people in group A and 51 people in group B.The two groups of patients were examined by CTV of both lower extremities and the success rate of examination and the comfort degree after puncture were counted,and then the subjective quality scores of the images of the two groups were evaluated by a double-blind method and the statistics were calculated.Results The success rate of one puncture in group A was 93.21%,and that in group B was 94.23%,with no significant difference(P>0.05).There was no significant difference in comfort after puncture between the two groups(P>0.05);the excellent image quality rate of group A was 85.71%,and that of group B was 86.27%,with no significant difference(P>0.05).Conclusion Plantar vein puncture can ensure the success rate and comfort in direct lower extremity venous CTV examination,and there is no significant difference in image quality obtained by dorsal puncture method,which can meet the diagnosis,but cannot meet the puncture requirements in patients with dorsal foot conditions This method can be used to complete the inspection when necessary,and it is worthy of clinical promotion.
作者
刘瑞瑞
卢璐
李笑石
耿纪刚
张崴琪
马永利
LIU Rui-rui;LU Lu;LI Xiao-shi;GENG Ji-gang;ZHANG Wei-qi;MA Yong-li(Department of Radiology DaXing hospital.Xi`an 710016,Shaanxi Province,China;Department of Radiology XiJing hospital,Xi`an 710032,Shaanxi Province,China)
出处
《中国CT和MRI杂志》
2023年第6期165-167,共3页
Chinese Journal of CT and MRI
基金
中国红十字会基金会“影响西北公益行”之ICON科研基金项目(XM_HR_ICON_2020_10)。
