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彩色多普勒超声监测下加压治疗股动脉穿刺后假性动脉瘤(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2006年第1期
页码:
89-91
栏目:
临床研究
出版日期:
2006-01-01

文章信息/Info

Title:
Compression treatment of postpuncture femoral artery pseudoaneurysm guided by color Doppler ultrasound
作者:
朱永胜; 刘丽文;  张军; 周晓东; 段云燕; 左蕾
第四军医大学西京医院超声科，陕西 西安 710032
Author(s):
ZHU Yong-sheng;  LIU Li-wen;  ZHANG Jun;  ZHOU Xiao-dong;  DUAN Yun-yan;  ZUO Lei
Ultrasound Division, Xijing Hospital, Fourth Military Medical University, Xi′an, Shaanxi 710032, China
关键词:
动脉瘤; 假性; 高频彩色多普勒; 超声监测; 加压治疗
Keywords:
pseudo-aneurysm;  highfrequency color Doppler;  ultrasound-guided;  compression
分类号:
R540.45；R543.5
DOI:
-
文献标识码:
A
摘要:
目的 探讨彩色多普勒超声监测下加压治疗股动脉穿刺后假性动脉瘤的疗效。方法 股动脉穿刺术后假性动脉瘤形成患者11 (男7，女4)例，年龄41~72(57±4)岁。在彩色多普勒血流显像的监测下，以交通口为中心，沿股动脉长轴方向，持续加压，间断放松。结果 10例(91%)患者加压治疗15~80 (48±14) min假性动脉瘤闭合，2 d、1周、3周后复查，均未见复发；1例加压20 min后，仍见分流，放弃治疗。结论 彩色多普勒超声监测下加压治疗股动脉穿刺术后假性动脉瘤有较高的临床价值。
Abstract:
AIM To evaluate the efficacy of external compression treatment guided by color Doppler ultrasound in patients with postpuncture femoral artery aneurysm. METHODS Eleven patients (7 males and 4 females, 41 to 72 years) with postcatheterization femoral artery pseudoaneurysm were treated with highfrequency color Doppler ultrasoundguided external compression. RESULTS Ten out of 11 patients were cured by compression of 15~80 (48±14) minutes without recurrence during the 3week followup. The treatment failed in 1 case showing femoral artery pseudoaneurysm color flow shunt after 20minute compression. CONCLUSION Highfrequency color Doppler ultrasoundguided compression has potential value in the treatment of postpuncture femoral artery pseudoaneurysm.

参考文献/References

［1］ Lazarides MK, Tsoupanos SS, Georgopoulos SE, et al. Incidence and patterns of iatrogenic arterial injuries. A decade’s experience ［J］. J Cardiovasc Surg Torino, 1998,39(3):281-285.

［2］ Szendro G, Golcman L, Klimov A, et al. Arterial false aneurysm and their modern management ［J］. Isr Med Assoc J, 2001, 3(1): 5-8.

［3］ Abando A, Hood D, Weaver F, et al. The use of the Angioseal device for femoral artery closure ［J］. J Vasc Surg, 2004, 40(2):287-290.

［4］ Marcello R, Cortese F, Mangialardi N, et al. A new interventional procedure in the treatment of iatrogenic pseudoaneurysm ［J］. Radio Med, 2003, 105(1-2): 63-68.

［5］ Padidar AM, Kee ST, Razavi MK. Treatment of femoral artery pseudoaneurysms using ultrasoundguided thrombin injection ［J］. Tech Vasc Interv Radiol, 2003, 6(2): 96-102.

备注/Memo

备注/Memo:
收稿日期：2005-02-23.基金项目：西京医院临床高新技术项目资助(No.04032M27) 作者简介：朱永胜，主治医师，讲师，博士 Tel:(029)84775447 Email：yshzhu@fmmu.edu.cn
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