超声引导下凝血酶注射治疗假性股动脉瘤30例观察  

Observation of ultrasound-guided thrombin injection in the treatment of 30 patients with femoral artery pseudo-aneurysm

作　　者：王炽秋[1] 余力[1] 

机构地区：[1]浙江中医药大学附属温岭市中医院彩超室,浙江省温岭317500

出　　处：《中国基层医药》2014年第9期1300-1302,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的研究彩色多普勒超声引导下凝血酶注射治疗股动脉假性动脉瘤的临床应用价值。方法选择60例假性动脉瘤患者为观察组，按随机数字表法将其分为A组与B组，A组超声引导下行压迫疗法，B组超声引导下行凝血酶注射治疗；同时选取假性动脉瘤手术治疗30例作对照组，统计治疗的成功率、血栓形成时间及并发症发生率。结果A组30例，首次压迫成功14例，首次压迫成功率46．6％，重复压迫成功率87．5％。2例后经凝血酶注射疗法治疗成功。B组腔内凝血酶注射治疗30例，首次注射治愈24例，首次注射成功率80．0％；两次注射最终全部治愈。血栓形成时间（0．30±0．05）min。A、B组首次治疗成功率及血栓形成时间差异均有统计学意义，均P〈0．01。手术治疗30例，全部治愈。术后并发症发生率6．7％。A组与B组在首次治疗成功率及并发症发生率差异均有统计学意义（P〈0．05）。A组及B组总成功率均为100．O％，两组差异无统计学意义（P〉0.05）。对照组术后并发症发生率6．7％，两组差异有统计学意义（P〈0．05）。结论在股动脉假性动脉瘤定位与穿刺治疗方面，彩色多普勒超声定位、引导可靠，腔内凝血酶注射治疗成功率及血栓形成时间上显著优于超声引导下的压迫治疗，拥有广泛的应用前景。Objective To study the clinical applicated value of thrombin injection in the treatment of 30 patients with femoral artery pseudo-aneurysm guided by color Doppler ultrasound. Methods 60 patients with femoral artery pseudoaneurysm were selected as the observation group, according to a random number table, they were divided into A group and B group, A group was treated with ultrasound guided compression therapy, B group was treated with ultrasound guided thrombin injection;also early femoral artery pseudoaneurysm OK conventional surgical methods for the treatment of 30 patients in the control group. The statistical method of uhrasound-guided two treatment success rate,thrombus formation time and observation group and control group success rate and complication rate. Results Ultrasound-guided compression therapy for 30 cases, 14 cases of successful initial oppression, oppression success rate of 46.6% for the first time,repeat oppression the success rate of 87.5%. Two cases were cured after thrombin injection therapy. B group was treated with thrombin injection of endovascular,24 cases in 30 cases were cured after first injection, the first injection success rate of 80.0% ;all cases were cured after two injections. Thrombus formation time was （0.30 ± 0.05 ）min. treatment success rates for the first time and thrombus formation time were significantly different（ all P 〈 0.01 ）. 30 cases were cured by surgical treatment. Postoperative complication rate was 6.7%. The first treatment success rates and complication rates of the two groups were significantly different（ P 〈 0.05 ）. The total success rates of the observation group and the control group were 100% respectively. The difference was not statistically significant（ P 〉 0.05 ）. Compared with the observation group, the incidence rate of postoperative complications of con- trol group was 6.7% （P 〉 0.05）. Conclusion In the femoral artery pseudoaneurysm positioning and puncture therapy, Color Doppler ultrasound-guided thrombin may provide a r

关 键 词：超声检查 介入性 治疗 临床研究性 动脉瘤 假性 

分 类 号：R445.1[医药卫生—影像医学与核医学]