介入超声经皮血管球囊封堵联合外科手术闭合复杂性肱动脉假性动脉瘤:1例报告并文献分析  

Interventional ultrasound percutaneous balloon occlusion combined with surgical closure complex brachial artery pseudoaneurysm: a case report

作　　者：丁霞娟 刘玉 余文洪 刘瑶 郭燕丽 DING Xiajuan;LIU Yu;YU Wenhong;LIU Yao;GUO Yanli(Department of Ultrasound,The First Hospital Affiliated to Army Medical University, Chongqing 400038, China;Department of Nephrology, The First Hospital Affiliated to Army Medical University, Chongqing 400038, China)

机构地区：[1]陆军军医大学第一附属医院超声科,重庆400038 [2]陆军军医大学第一附属医院肾科,重庆400038

出　　处：《分子影像学杂志》2019年第3期314-316,共3页Journal of Molecular Imaging

摘　　要：假性动脉瘤是血液由受损的动脉壁破口向外流出,于周围软组织内形成一个或多个搏动性血肿,是常见的血管损伤并发症。对于维持性血液透析患者血管瘢痕严重,长期反复穿刺增加假性动脉瘤发病风险,早期的诊断和治疗可以减低并发症和不良后果。本文报道1例因透析穿刺所致复杂性肱动脉假性动脉瘤的诊治经过,并结合文献复习,探讨复杂性假性动脉瘤的超声诊断及其治疗思路,早期采取介入超声经皮血管球囊封堵联合外科手术干预可以预防假性动脉瘤进一步发展,提高治愈率,为临床诊疗提供参考。Pseudoaneurysm is a common complication of vascular injury due to one or more pulsatile hematoma formed in the surrounding soft tissue by the blood flowing out of the damaged artery wall. Long-term repeated puncture increases the risk of PSA. Early diagnosis and treatment can reduce complications and adverse consequences. The paper reports the diagnosis and treatment of a case of complex pseudoaneurysm of humerus artery caused by dialysis puncture. We discuss the ultrasonic diagnosis and treatment of complex pseudoaneurysm in combination with literature review. Early interventional ultrasound percutaneous balloon occlusion combined with surgical intervention can prevent the further development of pseudoaneurysm, improve the cure rate and provide reference for clinical diagnosis and treatment.

关 键 词：介入超声 经皮血管成形术 球囊封堵 假性动脉瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学] R654.3[医药卫生—诊断学]