超声引导下股动脉假性动脉瘤内凝血酶注射加加压治疗的应用价值.pdfVIP

1118 · · 现代生物医学进展 Progress in Modern Biomedicine Vol.11 NO.6 MAR.2011 超声引导下股动脉假性动脉瘤内凝血酶注射加加压治疗的应用价值 黄 岩 陈松旺 戴 洁 张平洋△ （南京医科大学附属南京第一医院超声医学科 江苏南京210006） 摘要目的：评价超声引导下股动脉假性动脉瘤瘤腔内注射凝血酶加加压治疗在治疗医源性股动脉假性动脉瘤中的应用价值。方 20 G 30 法：在彩色多普勒超声引导下，采用 穿刺针经皮穿刺，对 例经股动脉介入治疗术后形成的股动脉假性动脉瘤患者行瘤腔 内注射凝血酶封闭治疗同时行加压压迫治疗，凝血酶浓度为200 U/ml ，总量均≤500 U，压迫治疗力量以病人能耐受，足背动脉搏 24 30 1 3 动可触及为标准，加压时间为 小时。结果： 例患者均 次治疗成功，术中及术后无并发症发生，术后随访 个月无复发。结 论：超声引导下股动脉假性动脉瘤瘤腔内注射凝血酶加加压治疗在治疗医源性股动脉假性动脉瘤中具有创伤小，操作简便，疗效 确切的优点，可作为经股动脉介入治疗术后形成的假性动脉瘤的首选治疗方法。 关键词：假性动脉瘤；凝血酶；彩色多普勒；超声引导；压迫 R732.21 A 1673-6273 2011 06-1118-03 中图分类号： 文献标识码： 文章编号： （ ） Application value of ultrasound - guided thrombin injection and compression repair for femoral arterial pseudoaneurysms HUANG-Yan, CHEN Song -wang, DAI Jie, ZHANG Ping -yang△ Dep artment of Ultrosound Nanj ing No.1 Hosp ital Affiliated to Nanj ing Medical University, Nanj ing, 2 10006, China （ ， ） ABSTRACT Obj ective: To evaluate the application value of ultrasound - guided thrombin injection UGTI and compression repair （ ） in the treatment of interventional femoral pseudoaneurysms ( PSA). Methods: Tirty patients with interventional femoral arterial pseudoa- neurysms, receiving percutaneous puncture with 20G needle under ultrasonic guidance, were treated by intracavitary thrombin injection and compression repair. The concentration of thrombin was 200U/ml and the volume dose was no more than 500U. The pressure was not ，