CAJ | 학술논문

目的探讨新型标记笔术前标记下肢曲张静脉的应用价值。方法应用一种新型静脉曲张标记笔，与传统棉签标记法比较，评估其成本、实用性及标记差异对手术效果的影响。结果2组耗材成本的对比结果显示，标记笔与棉签每次标记成本分别为0．18元和0．36元，标记笔成本低廉。组间医患满意率评分结果、术中穿刺成功率及标记精确性存在显著差异（ P ＜0．05），标记笔在易用性、精确性、满意度等方面较棉签具有明显优势，差异有统计学意义（ P ＜0．05）。术后随访复发、遗漏资料显示，术后1周2组差异无统计学意义（ P ＞0．05），术后6个月和1年，棉签标记组复发率、遗漏率均较新型标记笔标记组高，且差异有统计学意义（ P ＜0．05）。结论新型静脉曲张标记笔成本低、应用方便、标记精确性高，与传统方法比较，降低了术中遗漏和术后复发率，具有较好的临床应用价值。
목적탐토신형표기필술전표기하지곡장정맥적응용개치。방법응용일충신형정맥곡장표기필，여전통면첨표기법비교，평고기성본、실용성급표기차이대수술효과적영향。결과2조모재성본적대비결과현시，표기필여면첨매차표기성본분별위0．18원화0．36원，표기필성본저렴。조간의환만의솔평분결과、술중천자성공솔급표기정학성존재현저차이（ P ＜0．05），표기필재역용성、정학성、만의도등방면교면첨구유명현우세，차이유통계학의의（ P ＜0．05）。술후수방복발、유루자료현시，술후1주2조차이무통계학의의（ P ＞0．05），술후6개월화1년，면첨표기조복발솔、유루솔균교신형표기필표기조고，차차이유통계학의의（ P ＜0．05）。결론신형정맥곡장표기필성본저、응용방편、표기정학성고，여전통방법비교，강저료술중유루화술후복발솔，구유교호적림상응용개치。
Objective To evaluate the effect of preoperative application of a novel mark-pen in treatment of varicose vein of lower extremity .Methods The novel mark-pen was compared with traditional marking method with cotton swab,and its cost,practicability and the effects of marking differences on surgical effect were evaluated . Results The comparative analysis for two groups showed that the cost of new marker-pen and traditional cotton swab for each case was 0.18 Yuan (RMB) and 0.36 Yuan (RMB),respectively,there was a significant difference between the two methods .There were significant differences in the parameters including doctor-patient satisfaction scores,puncturing success rate and marking precision between two groups ( P <0.05).The new marker pen was superior to traditional cotton swab in availability,accuracy and satisfactory degree ( P <0.05).Follow-up data one week after operation showed that there was no difference in recurrence rate or omissive rate between two groups ( P>0.05).However at 6 months and a year after operation ,both recurrence rate and omissive rate in traditional cotton swab group were significantly higher than those in new marker-pen group (P <0.05).Conclusion The new marker pen has the benefit of lower cost ,higher accuracy and easy using .As compared with traditional cotton swab ,the new marker pen can reduce omissive rate and recurrence rate ,which has better clinical application value .