经兔耳动脉与经股动脉插管行肝动脉造影的比较研究

发布时间：2018-07-27 12:27

【摘要】：目的评价经兔耳中央动脉插管行肝动脉造影的可行性,并与经股动脉入路比较。方法将28只健康大白兔随机分成经股动脉入路组14只和耳中央动脉入路组14只(左耳7只,右耳7只)。用泰尔茂穿刺套管针行动脉穿刺,外套管留作后续插管的鞘,以1.8 F微导管行肝动脉插管。了解两种方法插管的成功率,比较两组总的操作时间和每一步操作时间,观察术后动物的生存质量。结果两组动物均成功完成肝动脉造影。经股动脉组所需剃毛时间为(54.0±13.0)s,经耳动脉组不需此步骤。经股动脉组和经耳动脉组获得动脉入路时间分别为(585.0±249.0)s和(83.0±41.0)s,组间差异有统计学意义(P0.001);肝动脉造影时间分别为(230.5±86.0)s和(257.0±82.0)s,组间差异无统计学意义(P=0.260 2);修复入路时间分别为(211.0±83.0)s和(90.0±0.0)s,组间差异有统计学意义(P0.001),总操作时间分别为(1 125.5±199.0)s和(419.5±134.0)s,组间差异有统计学意义(P0.001)。术后,经股动脉组动物穿刺侧下肢活动受限,经耳动脉组动物无明显异常。结论经兔耳动脉入路行肝动脉造影可行。与经股动脉入路相比,经耳动脉插管的操作时间短、创伤小、且不会留下肢体残疾。
[Abstract]:Objective to evaluate the feasibility of hepatic arteriography via central ear artery intubation in rabbits and to compare it with femoral artery approach. Methods 28 healthy rabbits were randomly divided into transfemoral approach group (n = 14) and central ear artery approach group (n = 14). Arteriocentesis was performed with a trocar, and hepatic artery catheterization was performed with 1.8 F microcatheter as the sheath for subsequent catheterization. To understand the success rate of the two methods, compare the total operation time and each step operation time between the two groups, and observe the quality of life of the animals after operation. Results the hepatic arteriography was successfully completed in both groups. The shaving time was (54.0 卤13.0) s in the transfemoral artery group, but not in the transauricular artery group. The arterial approach time of femoral artery group and transauricular artery group were (585.0 卤249.0) s and (83.0 卤41.0) s, respectively (P0.001), hepatic arteriography time was (230.5 卤86.0) s and (257.0 卤82.0) s, the time of repair approach was (230.5 卤86.0) s and (257.0 卤82.0) s, respectively (P0.2602), and the time of hepatic artery angiography was (230.5 卤86.0) s and (257.0 卤82.0) s, respectively. (211.0 卤83.0) s and (90.0 卤0.0) s, the total operating time was (1 125.5 卤199.0) s and (419.5 卤134.0) s, respectively. After operation, the lower extremity movement was restricted in the femoral artery group, but there was no obvious abnormality in the transauricular artery group. Conclusion Hepatic arteriography via rabbit ear artery approach is feasible. Compared with the transfemoral approach, the operation time of transauricular artery intubation is shorter, the trauma is less, and the limb disability is not left.
【作者单位】：江苏省肿瘤医院放射科;
【基金】：国家自然科学基金面上项目(81271677)
【分类号】：R814.43

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