超声引导下局部压迫或注射凝血酶治疗动脉插管术后假性动脉瘤的临床应用  

Clinical application of color Doppler ultrasound-guided compression and injection treatment of postangiographic pseudoaneurysms

作　　者：蒋天安[1] 李鸣[2] 赵君康[1] 胡志强[1] 黄志良[1] 

机构地区：[1]浙江大学医学院附属第一医院超声科,杭州310003 [2]浙江大学医学院附属第一医院血管外科,杭州310003

出　　处：《中华超声影像学杂志》2004年第1期43-45,共3页Chinese Journal of Ultrasonography

摘　　要：目的　探讨彩色多普勒超声引导下压迫或注射治疗假性动脉瘤的方法及疗效评估。方法　在超声引导下对 2 0例动脉插管术后所致股动脉及锁骨下动脉假性动脉瘤患者 ,行压迫及注射治疗。结果　 14例假性动脉瘤采用单纯压迫法治疗 ,成功率为 86% (12 /14 )。 2例锁骨下动脉假性动脉瘤瘤内注射医用吻合胶 (OB胶 ) ,1例闭合后动脉瘤处产生硬块 ,另 1例形成远端动脉阻塞。 4例注射凝血酶者治疗成功率为 10 0 % (4 /4 )。结论　超声引导下对动脉插管术后假性动脉瘤采用单纯压迫法或瘤内注射凝血酶治疗是简单、安全、有效的方法 。Objective To investigate the methods and evaluate their efficacy of pseudoaneurysms by color Doppler ultrasound guided compression and injection treatment.Methods Twenty patients with seventeen femoral artery pseudoaneurysms and three subclavian artery pseudoaneurysms underwent compression and injection treatment with color Doppler ultrasound guided.Results Simple compression method presented a successful rate of 86%(12 out of 14 patients).Two with subclavian artery pseudoaneurysms were injected with medical OB glue,as a result,one had a hard knot in the lesion after treatment,the other was thrombosed in the remote artery.Thrombin injection achieved the rate of success 100%, 4 in 4 patients.Conclusions Color Doppler ultrasound guided compression and thrombin injection is a simple,safe and effective method for the treatment of postangiographic pseudoaneurysms,but medical OB glue injection may bring about complications.

关 键 词：超声引导 局部压迫 局部注射 凝血酶 治疗 动脉插管术 假性动脉瘤 

分 类 号：R543.5[医药卫生—心血管疾病]