超声在治疗医源性股动脉假性动脉瘤中的临床价值

发布时间：2018-04-11 20:48

本文选题：医源性股动脉假性动脉瘤 + 超声引导压迫下经皮瘤腔内注射凝血酶　；参考：《重庆医学》2017年28期

【摘要】：目的评价超声引导下医源性股动脉假性动脉瘤(IFAP)瘤腔内注射凝血酶和超声引导加压在治疗IFAP中的应用价值。方法选取通过彩色多普勒确诊为IFAP患者56例,分为A、B两组。A组(28例)进行超声引导压迫下经皮瘤腔内注射凝血酶(UGTI)对股动脉假性动脉瘤(PSA)进行治疗,并于术后24h,出院后1周、1个月、3个月随访复查。B组(28例)进行超声引导压迫修复法(UGCR)对PSA进行治疗,并于术后24h及出院后1周、1个月、3个月随访复查。对两种方法治疗PSA的成功率、操作时间长短、复发率、并发症等方面进行评价。同时观察PSA瘤腔大小、瘤颈长度、瘤颈宽度及瘤口峰值血流速度等因素对两种治疗方法的影响。结果对PSA的治疗,UGTI成功率明显高于UGCR,UGTI操作时间明显短于UGCR,而复发率则显著低于UGCR。患者PSA瘤腔大小、瘤颈宽度对UGCR的影响都显著大于对UGTI的影响,而瘤口峰值血流速度对两种治疗方法均无明显影响。结论通过UGTI治疗PSA明显优于通过UGCR治疗PSA,UGTI可作为治疗经股动脉介入治疗术后形成PSA的首选方法。
[Abstract]:Objective to evaluate the value of intraluminal thrombin injection and ultrasound guided compression in the treatment of iatrogenic pseudoaneurysm of femoral artery (IFAP) under ultrasound guidance.Methods Fifty-six patients with IFAP diagnosed by color Doppler were divided into group A (n = 28) and group A (n = 28).The patients in group B were followed up for 24 hours, 1 week, 1 month and 3 months after discharge. 28 patients in group B were followed up with UGCR-guided ultrasound (UGC). The patients were followed up 24 hours after operation and 1 week, 1 month and 3 months after discharge.The success rate, operation time, recurrence rate and complications of the two methods for PSA were evaluated.At the same time, the influence of the size of PSA tumor cavity, the length of the tumor neck, the width of the tumor neck and the peak blood flow velocity of the tumor orifice on the two treatment methods were observed.Results the success rate of UGTI in treatment of PSA was significantly higher than that in UGCRs, and the recurrence rate was significantly lower than that in UGCRs.The effect of tumor cavity size and neck width on UGCR in patients with PSA was significantly greater than that on UGTI, but the peak blood flow velocity of tumor orifice had no significant effect on both treatment methods.Conclusion UGTI is superior to UGCR in the treatment of PSA, which is the first choice for the formation of PSA after femoral artery interventional therapy.
【作者单位】：重庆医科大学附属永川医院超声医学科;
【基金】：重庆市卫生计生委医学科研基金资助项目(2015ZBXM069) 重庆市永川区科委自然科学基金资助项目(Ycstc,2015nc5027) 重庆医科大学附属永川医院院级基金资助项目(YJLCX201628)
【分类号】：R445.1;R543.5

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