超声引导下经皮凝血酶注射对医源性股动脉复杂假性动脉瘤的应用研究

发布时间：2018-05-08 16:59

本文选题：动脉瘤 + 假性　；参考：《重庆医学》2017年04期

【摘要】：目的彩超引导下医源性股动脉复杂假性动脉瘤(IFACP)腔内经皮凝血酶注射治疗(UGTI)方法学及可行性评价。方法回顾性分析32例经股动脉径路进行介入操作术后并发IFACP患者接受经皮凝血酶注射治疗。假性动脉瘤瘤腔数目为2腔23例,3腔8例,4腔1例;局部麻醉后彩超持续引导下动脉穿刺针依次进入各瘤腔进行凝血酶注射,动态观察瘤腔内血栓形成完成封堵,24h,7d后分别彩超随访。结果 23例2腔全部一次性成功,2例3腔24h后复查部分再通,再次行UGTI封堵失败,1例4腔封堵失败,均无血栓形成、栓塞、感染、过敏等并发症。结论彩超引导下UGTI是治疗股IFACP首选术式,精准定位穿刺可提高复杂假性动脉瘤治疗成功率,避免严重并发症。
[Abstract]:Objective to evaluate the methodology and feasibility of intraluminal thrombin injection for iatrogenic complex pseudoaneurysm of femoral artery (IFACP) guided by color Doppler ultrasound (CDFI). Methods 32 patients with IFACP after femoral artery approach were treated with percutaneous thrombin injection. The number of pseudoaneurysm cavities was 2, 23, 3, 8, 4, 1. After local anesthesia, the puncture needle of inferior artery was continuously guided by color ultrasound to enter each tumor cavity for thrombin injection. Dynamic observation of intratumoral thrombosis was performed 24 hours and 7 days after complete occlusion respectively followed up by color Doppler ultrasound. Results all 23 cases (2 cases) were successfully re-opened in 2 cases (3 cases) 24 hours later, and 1 case (1 case) failed to be occluded by UGTI. There were no complications such as thrombosis, embolism, infection, hypersensitivity and so on. Conclusion Color Doppler guided UGTI is the first choice in the treatment of femoral IFACP. Accurate positioning puncture can improve the success rate of complex pseudoaneurysm and avoid serious complications.
【作者单位】：西南医科大学第一附属医院血管外科;四川省成都市第五人民医院血管外科;
【基金】：2014年四川省卫生和计划生育委员会科研课题(140035)
【分类号】：R543

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