超声引导下经皮注射凝血酶治疗肢体医源性假性动脉瘤的临床价值  

Ultra-guided percutaneous thrombin injection for treatment of iatrogenic pseudoaneurysms of the body

作　　者：李因勇[1] 高炯[1] 熊云[1] 王旭萍[1] 李玉华 

机构地区：[1]湖北省枣阳市第一人民医院超声科,湖北枣阳441200

出　　处：《中国医药科学》2013年第21期118-119,共2页China Medicine And Pharmacy

摘　　要：目的回顾分析超声引导下经皮注射凝血酶治疗肢体医源性假性动脉瘤的临床价值。方法经超声引导,采用PTC 22G细针对9例肢体医源性假性动脉瘤内注射凝血酶,在高频探头彩色多普勒超声监视下观察瘤体内血栓形成的全过程,注入凝血酶量与瘤体大小成正比例关系,一般不超过500U,当瘤体内血栓完全填塞后抽针,并监测病变动脉远端血供情况。结果 9例肢体医源性假性动脉瘤均一次治疗成功,并于术后1d、7d、30d三次复查,瘤体无再充血增大,病变动脉远端无栓塞。结论超声引导下经皮注射凝血酶治疗肢体医源性假性动脉瘤操作简便、安全有效,已成治疗该病的首选方法。Objective To evaluate the clinical resuhs of the technique to treat periphery iatrogenic pseudoaneurysm with direct thrombin injection under sonographic guidance. Methods With sonographic guidance, 9 patients who had periphery iatrogenic pseudoaneurysm underwent treatment by direct thrombin injection. Under high frequency probe color Doppler, thrombin which total dose 〈 500 U was injected into the pseudoaneurysm lumen using 22-gauge spinal pin. After thrombosis extracted spinal needle from the pseudoaneurysm lumen. Distal pulses were monitored. Results All cases were operated successfully after the first procedure. No artery embolism complication was found, follow up all patients after surgery ld, 7d, 30d. Conclusion For the treatment of iatrogenic pseudoaneurysms, thrombin injection under ultrasonic guidance is a safe and effective way of therapy.

关 键 词：超声 假性动脉瘤 凝血酶 

分 类 号：R543.1[医药卫生—心血管疾病]