超声引导下股动脉假性动脉瘤凝血酶注射和血管腔内缝合临床对比  

Comparison of Treatment Effects in Ultrasound-Guided Thrombin Injection and Endovascular Suturing for Femoral Artery Pseudoaneurysms

作　　者：刘淼 钱朝庆 Liu Miao;Qian Chaoqing(Department of Ultrasound,Qujing Affiliated Hospital of Kunming Medical University,Qujing Municipal First People's Hospital,Qujing,Yunnan 655000,China;Department of Vascular Surgery,Qujing Affiliated Hospital of Kunming Medical University,Qujing Municipal First People's Hospital,Qujing,Yunnan 655000,China)

机构地区：[1]昆明医科大学附属曲靖医院(曲靖市第一人民医院)超声科,云南省曲靖市655000 [2]昆明医科大学附属曲靖医院(曲靖市第一人民医院)血管外科,云南省曲靖市655000

出　　处：《中国超声医学杂志》2024年第11期1304-1307,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的本研究旨在对比超声引导下凝血酶注射和超声引导下血管腔内缝合治疗股动脉假性动脉瘤临床疗效和安全性。方法收集收治的107例股动脉假性动脉瘤患者临床资料,根据治疗方式分为超声引导下凝血酶注射(UGTI)组56例,超声引导下血管腔内缝合(UGES)组51例,记录两组患者一般资料和假性动脉瘤特征,比较两组患者治疗成功率、并发症、疼痛视觉模拟评分等情况。结果UGTI组首次治疗成功率为82.1%,10例患者进行至少2次凝血酶注射,UGTI组总成功率为92.9%,UGES组治疗成功率为96.1%,两组治疗总成功率差异无统计学意义(P>0.05),UGES组首次治疗成功率高于UGTI组(P<0.05),并发症总发生率低于UGTI组(P<0.05),术后24、48、72 h疼痛视觉模拟评分低于UGTI组(P<0.05)。结论UGTI和UGES治疗股动脉假性动脉瘤均安全、有效,UGES组在首次治疗成功率、患者舒适度以及并发症发生率等方面优于UGTI,值得临床推广应用。Objective To compare the clinical efficacy and safety of ultrasound-guided thrombin injection and endovascular suturing in the treatment of femoral artery pseudoaneurysms.Methods Clinical data were collected from 107 patients with femoral artery pseudoaneurysms.Patients were divided into two groups based on treatment method:56 patients underwent ultrasound-guided thrombin injection(UGTI group)and 51 patients underwent ultrasound-guided endovascular suturing(UGES group).General patient characteristics and pseudoaneurysm specifics were recorded and compared between the groups.Treatment success rates,complications,and visual analogue scale were also assessed.Results The primary treatment success rate was 82.1%in the UGTI group,with 10 patients undergoing at least 2 thrombin injections.The overall success rate in the UGTI group was 92.9%.In contrast,the treatment success rate was 96.1%in the UGES group.There was no significant difference in the overall treatment success rate between the two groups(P>0.05).However,the primary treatment success rate in the UGES group was significantly higher than that in the UGTI group(P<0.05).Additionally,the overall complication rate was significantly lower in the UGES group compared to the UGTI group(P<0.05).Furthermore,the visual analogue scores for postoperative pain at 24 hours,48 hours,and 72 hours were significantly lower in the UGES group compared to the UGTI group(P<0.05).Conclusions Both ultrasound-guided thrombin injection(UGTI)and ultrasound-guided endovascular suturing(UGES)are safe and effective treatments for femoral artery pseudoaneurysms.The UGES group demonstrates superiority over UGTI in terms of the first treatment success rate,patient comfort,and complication rate.These results support the clinical promotion and application of UGES.

关 键 词：假性动脉瘤 股动脉 彩色多普勒超声 凝血酶 血管缝合器 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543.5[医药卫生—诊断学]