超声引导下经皮注射生物蛋白胶治疗医源性假性动脉瘤(附8例报道)  

Ultrasound-guided bioseal injection in treatment of iatrogenic pseudoaneurysms(8 cases report)

作　　者：周炜[1] 夏建国[2] 叶猛[3] 赵意平[3] 施娅雪[3] 

机构地区：[1]上海交通大学医学院附属仁济医院放射科,上海200001 [2]上海交通大学医学院附属仁济医院超声科,上海200001 [3]上海交通大学医学院附属仁济医院血管外科,上海200001

出　　处：《中国介入影像与治疗学》2010年第5期497-499,共3页Chinese Journal of Interventional Imaging and Therapy

基　　金：上海市重点学科建设项目(s30203);上海交通大学医学院重点学科建设项目(第三期)

摘　　要：目的探讨超声引导下瘤腔内注射医用生物蛋白胶治疗医源性假性动脉瘤的可行性和安全性。方法采用22G穿刺针,对8例医源性假性动脉瘤患者行超声引导下瘤腔内注射生物蛋白胶,利用二维及彩色多普勒超声观察瘤腔的封堵情况,术后监测远端肢体动脉搏动,并定期随访。结果 8例患者均一次性封堵成功,生物胶用量2～4ml,瘤腔封堵时间10～40s。术后无肢体动脉栓塞和过敏反应,随访1周假性动脉瘤无复发。结论采用超声引导下瘤腔内注射生物胶治疗医源性假性动脉瘤是一种创伤小、安全、快捷有效的治疗方法。Objective To evaluate the application value and safety of ultrasound-guided bioseal injection in treatment of iatrogenic pseudoaneurysms.Methods Eight patients with iatrogenic pseudoaneurysms underwent ultrasound-guided bioseal injection.The cavity condition was observed with two-dimensional and color Doppler ultrasound.All patients were monitored with distal pulses following injection procedures.Results The iatrogenic pseudoaneurysms of all the patients were successfully occluded after bioseal injection.The volume of bioseal injected into the pseudoaneurysms was 2—4 ml.The occlusion time was 10—40 s.No artery embolism and any other complications occured.Conclusion Bioseal injection under sonographic guidance is an effective,safe and quick method in treatment of iatrogenic pseudoaneurysms.

关 键 词：动脉瘤 假性 超声检查 凝血酶 生物胶 

分 类 号：R543.5[医药卫生—心血管疾病] R445.1[医药卫生—内科学]