ABSTRACT
Using sclerotherapy with foam has caused a great change in treatment of varicose veins. Although, it is more than a century that it is being used, no exact and comprehensive knowledge of its complications has been published yet with regard to the existing facilities in Iran. In this cross-sectional study, Patients with varicose veins of lower extremity referred to cardiology clinic of Razi hospital, Rasht were included in the study after doppler sonography and in case of presence of varicose veins with more than 2 mm diameter in lower extremities without inadequacy of saphenofemoral and saphenopopliteal valve. They then underwent sclerosing with foam treatment. The total number of patients was 156 who were examined 2 weeks and 3 months after sclerotherapy in terms of complications such as pain, pigmentation, recurrence, phlebitis, deep vein thrombosis and skin necrosis. Out of 156 patients, 47 were men and 109 women whose mean +/- SD age was 46.5 +/- 12.2 years. Two weeks after sclerotherapy, pain in 95 patients [65.1%], pigmentation in 79 patients [53.4%], recurrence in 5 patients [3.4%], necrosis in 8 patients [5.5%] and no phlebitis was witnessed. Three months after sclerotherapy, pain in 10 patients [6.8%], pigmentation in 52 patients [35.1%], recurrence in 13 patients [8.8%] and phlebitis in 13 patients [8.8%] were seen; however, necrosis was not observed. Sclerotherapy with foam is an effective, safe and inexpensive method for treatment of varicose veins of lower extremities. Thus, in case of a careful selection of patients and conduction in an equipped center, few complications will be seen
ABSTRACT
Many studies have shown that some types of Human Papillomavirus [HPV] play an important role in cervix cancer which has been identified in 99% of cervix cancers worldwide. This study aimed at identifying the frequency of high-risk types of this virus in cervical lesions among patients referred to Al-Zahra Hospital, Rasht. Forty five vaginal and cervical swap samples of women with genital warts were tested considering the presence of DNA of 14 common HPV types by using 3 series of specific PCR. Out of 45 vaginal swap samples of women suffering genital warts, 37 samples [82.2%] were reported with 95% CI [70.6-93.83] considering the presence of HPV. The frequency distribution of HPV types in 45 patients with genital wart were as follows: 5 cases [13.5%] with HPV35, 4 cases [10.8%] with HPV16, 4 cases [10.8%] with HPV31, 3 cases [8.1%] with HPV33, 3 cases [8.1%] with HPV52, 3 cases [8.1%] with HPV58, 2 cases [5.4%] with HPV45, 1 case [2.7%] with HPV18, 1 case [2.7%] with HPV59, and 1 case [2.7%] with HPV39. Inasmuch as samples of our study have been collected from one of the most important women-referring medical centers [Al-Zahra Medical and Teaching Center] in Guilan province, thus the results can be used for screening, management, and vaccination of the target population against the common types of virus in Guilan