Perclose缝合器在脑血管造影和介入治疗术后的应用  

Clinical application of Perclose device after cerebral angiography and intervention

作　　者：黄海波[1] 伍晓扬[2] 王金凤[2] 叶强[1] 

机构地区：[1]温州医学院附属第一医院脑血管科,325000 [2]温州医学院附属第一医院介入科,325000

出　　处：《中国医师进修杂志》2010年第21期18-20,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 评价Perclose缝合器在脑血管造影和介入治疗术后应用的安全性、有效性和临床应用价值.方法 将289例脑血管造影和介入治疗术后患者,采用随机数字表法分为两组：应用Perelose缝合止血143例（缝合组）,应用手工压迫止血146例（手工压迫组）.比较两组即刻止血时间、下肢制动时间、血管并发症、止血成功率和因卧床引起的不适发生率.结果 缝合组和手工压迫组止血成功率分别为96.5%（138/143）和97.9%（143/146）,两组止血成功率比较差异无统计学意义（P〉0.05）;缝合组即刻止血时间、下肢制动时间分别为（3.13±2.17）min和（1.99±1.11）h,较手工压迫组的（15.91±3.27）min和（17.93±7.82）h明显缩短（P〈0.01）,小血肿、大血肿及术后不适的发生率较手工压迫组明显降低（P〈0.01）.结论 脑血管造影和介入治疗术后应用Perclose缝合器安全、有效,能大幅度缩短卧床时间,降低血管并发症.Objective To evaluate the safety and efficacy of Perclose device after cerebral angiography or intervention procedures. Methods Two hundred and eighty-nine patients who underwent cerebral angiography or intervention procedure were divided into two groups： 143 patients accepted Perclose device for hemostasis （device group）, 146 patients accepted manual method for hemostasis （handwork group）. Time to achieve hemostasis and ambulation,complications associated with the procedure,the rates of successful hemostasis and patients＇ discomfort were compared. Results The rates of successful hemostasis were 96.5%（ 138/143） in the device group and 97.9%（ 143/146） in the handwork group （P〉 0.05）. Time to achieve hemostasis and ambulation in the device group were （3.13 ± 2.17） min and （1.99 ± 1.11） h ,they were shorter than those in the handwork group [（15.91 ± 3.27） min and （17.93 ± 7.82） h]（P〈 0.01）. The occurrence rate of complication at the femoral access site and patients＇ discomfort rates from staying in bed in the device group were lower than those in the handwork group （P 〈 0.01）. There were 7 cases of large hematoma and 1 case of pseudoaneurysm in the handwork group. Conclusions The use of Perclose device is a safe and effective method for hemostasis of the femoral access site after cerebral angiography and intervention. It could shorten the time of staying in bed and decrease vascular complications significantly.

关 键 词：外科缝合器 止血 脑血管造影术 

分 类 号：R74[医药卫生—神经病学与精神病学]