不同路径行Ⅲ型主动脉弓全脑血管造影术对比研究  

Study on typeⅢaortic arch whole cerebral angiography by different routes

作　　者：刘志华[1] 丘鸿凯[1] 方思伟[1] 张瑾[1] 何颜结 罗振中 悦保仕 叶伙华[2] LIU Zhi-hua;QIU Hong-kai;FANG Si-wei;ZHANG Jin;HE Yan-jie;LUO Zhen-zhong;YUE Bao-shi;YE Huo-hua(Department of Neurology,Bo'ai Hospital of Zhongshan,Zhongshan 528400,Guangdong,CHINA;Department of Intervention Therapy,Bo'ai Hospital of Zhongshan,Zhongshan 528400,Guangdong,CHINA)

机构地区：[1]中山市博爱医院神经内科,广东中山528400 [2]中山市博爱医院介入科,广东中山528400

出　　处：《海南医学》2023年第2期240-243,共4页Hainan Medical Journal

摘　　要：目的探讨不同路径行Ⅲ型主动脉弓全脑血管造影术的可行性。方法选取2018年1月至2020年12月在中山市博爱医院住院的104例Ⅲ型主动脉弓患者纳入研究,依据住院号奇偶性分为经桡动脉途径(TRA)组56例和经股动脉途径(TFA)组48例,比较两组患者的穿刺置管成功率、图片质量、手术并发症发生率、手术舒适度、手术时间以及X线曝光时间。结果TRA组和TFA组患者的穿刺置管成功率分别为94.6%、97.9%,差异无统计学意义(P>0.05);TRA组和TFA组患者的图片质量总体评分分别为(11±1.39)分和(10.96±1.43)分,差异无统计学意义(P>0.05);TRA组和TRA组患者的血管相关性并发症发生率分别为13.2%、12.5%,非血管相关并发症发生率分别为13.2%、8.3%,并发症总体发生率分别为26.4%、20.8%,差异均无统计学意义(P>0.05);TRA组患者的手术舒适度评分为(2.87±0.79)分,明显低于TFA组的(3.39±0.82)分,差异有统计学意义(P<0.05);TRA组患者的手术时间和X线曝光时间分别为(64.1±7.9)min、(12.9±1.68)min,明显短于TFA组的(76.3±10.8)min、(16.4±2.35)min,差异均有统计学意义(P<0.05)。结论TRA手术效果同TFA,但其能缩短手术时间,提高患者手术舒适度,可作为Ⅲ型主动脉弓全脑血管造影检查重要备选途径。Objective To explore the feasibility of typeⅢaortic arch whole cerebral angiography with different routes.Methods A total of 104 patients with typeⅢaortic arch hospitalized in Boai Hospital of Zhongshan from January 2018 to December 2020 were selected for the study.According to the parity of hospitalization number,56 patients were treated by trans radial artery(TRA)group and 48 by trans femoral artery(TFA)group.The success rate of puncture and catheterization,image quality,incidence of surgical complications,surgical comfort,operation time,and X-ray exposure time of the two groups were compared.Results The success rate of catheterization in the TRA group and the TFA group was 94.6%and 97.9%respectively,with no statistically significant difference(P>0.05).The overall image quality scores in the TRA group and the TFA group were(11±1.39)points and(10.96±1.43)points,respectively,with no statistically significant difference(P>0.05).The incidence of vascular related complications in the TRA group and the TRA group was 13.2%and 12.5%respectively,and the incidence of non-vascular related complications was 13.2%and 8.3%,respectively.The overall incidence of complications was 26.4%and 20.8%,respectively,with no significant difference(P>0.05).The surgical comfort score of the TRA group was(2.87±0.79)points,which was significantly lower than(3.39±0.82)points of the TFA group(P<0.05).The operation time and X-ray exposure time in TRA group were(64.1±7.9)min and(12.9±1.68)min,respectively,which were significantly shorter than(76.3±10.8)min and(16.4±2.35)min in the TFA group(P<0.05).Conclusion The operation completion rate of TRA is the same as that of TFA,but it can shorten the operation time and improve the operation comfort of patients,which can be used as an important alternative for typeⅢaortic arch angiography.

关 键 词：Ⅲ型主动脉弓 脑血管造影术 桡动脉 股动脉 心律失常 

分 类 号：R743[医药卫生—神经病学与精神病学]