彩超诊断31例心脏介入术后股动脉假性动脉瘤临床价值.docVIP

彩超诊断31例心脏介入术后股动脉假性动脉瘤临床价值 　　【摘要】目的:探讨超声引导压迫治疗股动脉假性动脉瘤以及对治疗效果的评价。方法:应用彩色多普勒超声对31例心脏介入治疗术后股动脉假性动脉瘤进行诊断及超声治疗，分析假性动脉瘤内回声、血流信号和频谱特征，治疗的适应症及注意事项。 结果:彩超对诊断和治疗股动脉假性动脉瘤效果好。 结论:股动脉假性动脉瘤彩超诊断和治疗具有特殊价值，因其简便准确性高、可重复性，使病程缩短，减轻病人痛苦，所以可作为首选检查和治疗方法。 　　【关键词】超声;股动脉;假性动脉瘤 　　【中图分类号】R732.21 【文献标识码】A 【文章编号】1008-6455（2011）12-0038-01 　　Clinical Value of Color Dopplar Ultrasound Diagnosis for 31 Cases Heart Patients after Interventional Femoral Artery Pseudoaneurysms 　　Liu Aihua Gan Zhaohong Zhang Xuemei Zhang Faqiang 　　【Abstract】Objective: To find out the effectiveness of ultrasound-guided oppression treatment for patients with femoral pseudoaneurysms and the evaluation of the therapy. Methods: To use Color doppler ultrasonography for the diagnosis and treatment of 31 patients with femoral pseudoaneurysms after the interventional treatment of coronary heart disease, to analysis echo, blood stream signals and spectral character in pseudoaneurysm cavity, and to make sure the indications and announcements. Results: The effectiveness of the pseudoaneurysms diagnosis and treatment by Color dopplar ultrasound is good .Conclusions: Color dopplar ultrasound for the pseudoaneurysms diagnosis and treatment has special value. The method which is convenient, highly accurate、easy to practice and can make the course shortened, relive pain of patients is used as the first choice for examination and treatment. 　　【Key words】Supersonic; Femoral artery; Pseudo aneurism7 　　创伤性假性动脉瘤是动脉损伤后较严重的并发症。因外伤、医源性损伤等导致动脉壁全层损伤破裂出血。随着心脏介入治疗的开展，股动脉假性动脉瘤已成为临床常见并发症。本文重点讨论股动脉穿刺术后出现的假性动脉瘤的超声特点及治疗方法。 　　1 资料与方法 　　1.1 一般资料:股动脉假性动脉瘤患者31例，男17例，女14例，年龄48～79岁，病程1～20天。损伤原因均为心脏介入治疗术后所致。 　　1.2 临床表现特点：行心脏介入治疗时，进行股动脉穿刺插管术后局部出现疼痛，并可扪及搏动性肿块，肿块大小不等，最大的约6.8cm×5.9cm×4.1cm，最小的约2.1cm×1.1cm×2.0cm，瘤口直径约0.2cm×0.4cm，其中4例形成漏道，长度约0.39～0.71cm。部分肿块有逐渐增大的趋势。 　　1.3 超声检查:均采用美国HP1000型彩色超声仪，用7.5Hz线阵探头进行高频血管彩超检查。患者取平卧位，首先对穿刺部位股动脉进行实时彩色及多普勒检查，仔细检查肿块位置、大小，CDFI检查时，适当调节增益，速度量程，使彩色显示最佳，检查时动作要轻柔。 　　1.4 超声治疗31例股动脉假性动脉瘤患者，均行超声探头压迫治疗。31例均经临床采用局部盲压及加压包扎失败后采用