Search

Objective: To compare the application effect of domestic and imported intravenous radiofrequency closure system in the treatment of primary varicose veins of lower extremities. Methods: This single-center prospective, non-inferiority randomized controlled trial was performed in the Department of Vascular Surgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine from January 2021 to January 2022. Patients with primary varicose veins of lower extremities who met the ataxation criteria were randomly assigned to the experimental group(domestic novel venous radiofrequency closure system) or the control group(imported venous radiofrequency closure system) in a ratio of 1∶1. The two groups of subjects were compared in terms of target vein closure rate, technical success rate, system operation performance, incidence of adverse events and incidence of serious adverse events(SAE) within 6 months after surgery. Quantitative data were compared by Mann-Whitney U test, and categorical data were compared by χ 2 test and non-inferiority test. Results: A total of 80 subjects were included in the trial (41 in the experimental group and 39 in the control group), including 27 males and 53 females, aged ( M (IQR)) 55(23) years (range:40 to 78 years). There were 48 cases of left lower limb and 32 cases of right lower limb. The technical success rate and system control performance between the groups were 100%.The incidence of adverse events (58.5% (24/41) vs . 61.5% (24/39), χ 2 =0.075, P =0.784), and the incidence of SAE (7.3% (3/41) vs . 5.1% (2/39), χ 2 =0.163, P =0.686) within 6 months after surgery in experimental group and control group had no statistical significance. There was one device-related adverse event in each of the two groups. In the experimental group, one patient developed endovenous heat-induced thrombosis after surgery and recovered after taking rivaroxaban tablets. One patient in the control group had pain in the upper right thigh for more than 1 day after operation, which was cured after using analgesic cream. No device-related SAE occurred. The venous closure rate of the experimental group was 100% (38/38) at 6 months after surgery, and that of the control group was 97.4% (37/38). The difference between the two groups was 2.63% (95% CI :-3.19 to 8.45, Z =4.865, P <0.01), and the 95% CI lower limit of the difference in target venous closure rate between two groups was greater than the non-inferiority threshold of -10.00%. Conclusion: The early application effect of the new domestic intravenous radiofrequency closure system in patients with primary varicose veins of lower extremities is in line with expectations, it is not inferior to the imported system.

To investigate the effects of gravel content on runoff and sediment yield on Lou soil accumulation slopes, we conducted indoor simulation rainfall experiments and examined the characteristics of runoff and sediment yield on accumulation slopes with five gravel contents (10%, 20%, 30%, 40%, 50%) under four rainfall intensities (1.0, 1.5, 2.0, 2.5 mm·min -1 ), with a no gravels slope as control. The average runoff rate under different test conditions ranged from 2.18 to 13.07 L·min -1 . The average runoff rate was the maximum under the gravel content of 10% (or 20%) and the minimum under the 50% gravel content. The average flow velocity ranged from 0.06 to 0.22 m·s -1 . The variation of flow velocity was complex. The smaller the gravel content, the larger the range of variation and the coefficient of variation. The average flow velocity reached the maximum when the gravel content was 10%. The presence of gravel effectively inhibited the sediment yield, and the sediment reduction benefit reached 84.2%. The rainfall intensity had more influence on the average sediment yield rate than gravel content. Results of partial correlation analysis showed that gravel content was significantly negatively correlated with the ave-rage runoff rate, the average flow velocity, and the average sediment yield rate. The relationships between the ave-rage sediment yield and the average runoff rate, the average flow velocity, and their interaction were all extremely significant linear functions, with the strongest relationship between the average sediment yield and the average runoff rate. This study could provide references for the control of soil erosion and the establishment of erosion models for engineering accumulations in Lou soil areas.

Vegetation restoration in the Chinese Loess Plateau has significantly changed soil erosion process of gully head wall. In order to investigate the characteristics and controlling factors of soil anti-scour properties of gully head covered by grasses, we carried out indoor undamaged soil trench scouring tests. By using barren gully head as the control, the physical and chemical properties and anti-scouring characteristics of soil in different soil layers (0-10, 10-20, 20-40, 40-60, 60-80, 80-100 cm) of the vertical wall of gully with grass cover were analyzed. The results showed that water-stable aggregate content and cohesion in barren and grass-covering gully head decreased with soil depth. Soil organic matter content and soil anti-scouribility coefficient in barren gully head decreased with soil depth, while the two indicators for gully head covered by grass increased firstly and then decreased with soil depth, with the maximum value (24.30 g·kg -1 and 58.86 L·g -1 ) in 10-20 cm soil layer. Meanwhile, the soil anti-scouring coefficient in each soil layer of grass-covering gully head was 1.7-9.3 times of that in soil layer of barren gully head. Soil organic matter content, water-stable aggregate content, cohesion and root length density all presented significantly positive correlation with soil anti-scouribility, among which soil organic matter content had the highest coefficient ( r =0.98). Results of this study might provide basic data for the study of headcut erosion mechanism in Loess Plateau gully region, and scientific basis for effective control of soil and water loss in this region.