B超引导下股静脉穿刺技术在心脏电生理手术中的应用价值  

The application of real-time ultrasound-guided femoral vein puncture in cardiac electrophysiological procedures

作　　者：吕游[1] 蒋瑞辉 种甲[1] 施海峰[1] 相仕涛 Lyu You;Jiang Ruihui;Zhong Jia;Shi Haifeng;Xiang Shitao(Department of Cardiology,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;不详)

机构地区：[1]北京医院心内科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [2]中央军委联合参谋部警卫局保健处

出　　处：《中国临床保健杂志》2023年第4期528-530,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨B超引导下股静脉穿刺在心脏电生理手术中的应用价值。方法回顾性分析北京医院2018年8月至2020年8月期间行心房颤动射频消融手术患者194例。其中94例应用实时超声引导下股静脉穿刺方法,定义为超声组;100例应用解剖定位股静脉穿刺法,定义为对照组。结果超声组较对照组的每次穿刺时间[(8.1±2.6)min比(4.6±1.4)min,P<0.05]更长,差异有统计学意义。超声组误穿动脉总次数3次,对照组误穿刺动脉总数11次(P<0.05)。2种方法的穿刺成功率(97.9%比91.0%,P<0.05),差异有统计学意义。超声组无假性动脉瘤及动静脉瘘发生,对照组发生假性动脉瘤和动静脉瘘各1例,但是差异无统计学意义(P>0.05)。结论超声引导下股静脉穿刺术可以为心脏电生理手术提供更安全的保障,减少组织血肿的发生风险。Objective To evaluate the application value of real-time ultrasound-guided femoral vein puncture in cardiac electrophysiological procedures.Methods One hundred and ninety-four patients undergoing atrial fibrillation radiofrequency ablation in Beijing Hospital from August 2018 to August 2020 were analyzed retrospectively,94 patients who used real-time ultrasound-guided femoral vein puncture(ultrasound group)and 100 patients who used anatomy-guided femoral vein puncture(control group).Results The puncture time of ultrasound group was longer than that of control group[(8.1±2.6)min vs.(4.6±1.4)min,P<0.05].The ultrasound group had a total of 3 false arterial punctures,while the control group had a total of 11 false arterial punctures(P<0.05).There was significant difference in the success rate of puncture between the two groups(97.9%vs.91.0%,P<0.05).There was no pseudoaneurysm and arteriovenous fistula in the ultrasound group,one case each in control group,but there was no significant difference between the two groups(P>0.05).Conclusions Ultrasound guided femoral vein puncture can provide more security for cardiac electrophysiology and reduce the risk of tissue hematoma.

关 键 词：射频消融术 电生理学技术 心脏 超声检查 介入性 股静脉 

分 类 号：R541.75[医药卫生—心血管疾病]