针对创伤性假性动脉瘤的彩色超声检查与诊断作用的评估  

Evaluation of Color Ultrasound Examination and Diagnostic Role for Traumatic Pseudoaneurysm

作　　者：陈岩 CHEN Yan(Nuclear Industry 417 Hospital,Xi'an,Shanxi 710600)

机构地区：[1]核工业四一七医院,陕西西安710600

出　　处：《智慧健康》2025年第1期14-16,共3页Smart Healthcare

摘　　要：目的 对比彩色多普勒超声(CDUS)与数字减影血管造影(DSA)对创伤性假性动脉瘤(TPA)的诊断效能,并评估超声引导介入治疗的临床价值。方法 选取2020年1月—2024年1月本院收治的32例外伤后疑似TPA患者,所有病例均接受CDUS及DSA检查,以DSA为金标准计算CDUS诊断符合率;对31例确诊者实施超声引导下微创治疗(压迫修复/凝血酶注射),观察疗效及并发症。结果 CDUS诊断符合DSA 31例(96.9%),1例髂动脉TPA因肠道气体干扰漏诊。结论 CDUS对TPA的诊断准确性与DSA高度一致,且具有无创、快速的优势;超声引导微创治疗可作为多数TPA的首选方案,DSA则适用于复杂病例补救治疗。Objective To compare the diagnostic efficacy of color Doppler ultrasound (CDUS) and digital subtraction angiography (DSA) for traumatic pseudoaneurysm (TPA) and evaluate the clinical value of ultrasound-guided interventional therapy.Methods Thirty-two patients with suspected TPA after trauma were enrolled from January 2020 to January 2024.All cases underwent both CDUS and DSA examinations.Using DSA as the gold standard,the diagnostic concordance rate of CDUS was calculated.Ultrasound-guided minimally invasive therapies (compression repair/thrombin injection) were performed on 31 confirmed cases to observe efficacy and complications.Results CDUS showed diagnostic concordance with DSA in 31 cases (96.9%),with one iliac artery TPA missed due to intestinal gas interference.The overall success rate of ultrasound-guided therapy was 93.5% (29/31),while two failed cases were cured by subsequent DSA embolization.Conclusion CDUS demonstrates high diagnostic accuracy for TPA,consistent with DSA,while offering advantages of non-invasiveness and rapidity.Ultrasound-guided minimally invasive therapy can serve as the primary treatment for most TPA,with DSA reserved for salvage therapy in complex cases.

关 键 词：创伤性假性动脉瘤患者 彩色超声检查 诊断价值 

分 类 号：R44[医药卫生—诊断学]