彩色多普勒超声诊治老年股动脉假性动脉瘤的临床价值  

Values of clinical application of color Doppler ultrasonography in the diagnosis and treatment of iatrogenic femoral artery pseudoaneurysm in the elderly

作　　者：金壮[1] 曹军英[1] 张筠[1] 里子彧[1] 于馨[1] 

机构地区：[1]中国人民解放军沈阳军区总医院超声科,辽宁沈阳110840

出　　处：《医学影像学杂志》2017年第1期63-66,共4页Journal of Medical Imaging

摘　　要：目的探讨彩色多普勒超声诊治老年患者股动脉假性动脉瘤的临床价值。方法应用超声诊断42例老年介入术后股动脉假性动脉瘤患者,首先在超声引导下压迫假性动脉瘤直至瘤腔内无血流;压迫失败患者采取超声引导下经皮瘤腔内注射凝血酶封堵方法治疗。结果超声引导下压迫方法成功率为23.8%(10/42),超声引导下经皮瘤腔内注射凝血酶封堵方法成功率为100%(32/32)。结论超声引导下经皮瘤腔内注射凝血酶封堵方法治疗假性动脉瘤具有操作省时简便、临床效果可靠、并发症少、复发率低、患者痛苦少等优点,易于推广。Objective To evaluate the values of clinical application of color Doppler ultrasound in the diagnosis and treatment of iatrogenic femoral artery pseudoaneurysm （IFAP）in the eldeHy. Methods A total of 42 patients aged （69.43 ± 4.37） years with IFAP were examined by color Doppler ultrasound. All eases were treated by compression simply for blocking blood flow with probe guided by ultrasound, and the failed cases were injected Reptilase into the lumen of pesudoaneurysm. Results Success rate of ultrasound-guided manual compression was 23.8% （ 10/42 ） , cute rate of ultrasound-guided thrombus injection was 100% （32/32）. Conclusion In this study, we found this method was convenient safe and time saving for the therapy on femoral pseudoaneurysms, with reliable clinical effects patients in our study that were tolerable almost without serious complications. It may be widely used in the clinic.

关 键 词：老年患者 假性动脉瘤 超声波诊断 

分 类 号：R543[医药卫生—心血管疾病]