Paolo Casoni, Emanuele Nanni, Matteo Pizzamiglio, Daniele Bissacco
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引用次数: 0
摘要
背景：比较高强度聚焦超声（HIFU）治疗隐静脉主干（GSV/SSV）和/或曲张静脉功能不全期间的不同麻醉方案。材料与方法：GSV/SSV功能不全和曲张静脉患者在不同麻醉方案下接受HIFU治疗。主要终点是HIFU治疗过程中的疼痛评分，采用10分制：结果：在分析的 262 条腿中，主要疼痛评分为 1.03 ± 1.27。皮内+口服麻醉与皮内+静脉注射相比，手术疼痛更轻（1.30 ± 0.19 vs 0.81 ± 0.09; p = .001）。相反，静脉周围注射降低了早期完全再通率：这些初步结果表明，HIFU 是一种几乎无痛的手术。结论：这些初步结果表明，HIFU 是一种几乎无痛的手术，通过使用特定的皮内+口服麻醉治疗可进一步减少手术疼痛，尽管静脉周围麻醉可改善术后效果。
Comparing anesthesia protocols in high intensity focused ultrasound treatments: The HIFU-pain study.
Background: to compare different anesthesia protocols during High Intensity Focused Ultrasound (HIFU) for saphenous trunk (GSV/SSV) and/or varicosities incompetence treatment.
Material and methods: patients with GSV/SSV incompetence with varicose veins underwent HIFU under different anesthesia protocols. The primary endpoint was the pain score during HIFU using a 10-point scale.
Results: Out of 262 legs analyzed, main pain score was 1.03 ± 1.27. Intradermal + oral anesthesia treatments resulted in less procedural pain if compared with intradermal ± perivenous protocols (1.30 ± 0.19 vs 0.81 ± 0.09; p = .001). Conversely, perivenous injection decrease early complete recanalization rate.
Conclusion: These preliminary results suggest that HIFU is an almost pain-free procedure. Procedural pain could be further minimized by using specific intradermal + oral anesthesia treatments, despite perivenous anesthetic could improve postoperative outcomes.
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