经桡动脉与经股动脉途径行选择性全脑血管造影的对比研究  

Comparative study of transradial and transfemoral cerebral angiography

作　　者：廖耿[1] 薛华杰[1] 黄婉芸[1] 叶海鹏[1] 蒋学军[1] 杨职[1] 

机构地区：[1]广东省茂名市人民医院神经内科,广东茂名525000

出　　处：《中国医药科学》2012年第21期19-20,90,共3页China Medicine And Pharmacy

基　　金：广东省茂名市科技计划项目(20102008)

摘　　要：目的通过与经股动脉对比,探讨经桡动脉途径行全脑血管造影的可行性、安全性及优缺点。方法选取同期行全脑血管造影的患者125例,按入路血管分为桡动脉组(62例)和股动脉组(63例),对比其穿刺成功率、造影成功率、手术时间、并发症发生率,并进行统计学处理。结果 2组穿刺成功率、造影成功率比较,差异均无统计学意义(P<0.05),桡动脉组手术时间长于股动脉组(P<0.05),并发症发生率低于股动脉组(P<0.05)。结论经桡动脉途径全脑血管造影成功率高,安全可行,并发症少且轻微,值得推广应用。Objective To evaluate the feasibility,efficacy and safety of a transradial approach to cerebral angiography compare to transfemoral approach. Methods The cerebral angiography was performed in 125 patients and they were divided into transradial approach group（62 cases）and transfemoral approach group（63 cases）.The success rate of procedure,the operation time and complication rate were compared, and statistical analysis was performed. Results There were no significant differences in the puncture success rate and procedure success rate between the two groups（P 0.05）.The operation time were significantly longer and the complication rate was obviously lower in transradial approach group than those in transfemoral approach group（P 0.05）. Conclusion This study suggests that transradial cerebral angiography can be performed with minimal risk of morbidity,which is worth of using generally.

关 键 词：脑血管造影术 桡动脉 股动脉 

分 类 号：R651.1[医药卫生—外科学]