中国医学创新Issue(17)：52-54,55,4.DOI:10.3969/j.issn.1674-4985.2014.17.018
超声引导下瘤腔内注射凝血酶治疗股动脉假性动脉瘤的临床研究
Ultrasound-Guided Thrombin Injection for the Treatment of Femoral Arterial Pseudoaneurysms
汪凡1
作者信息
- 1. 山东省泰安市中心医院 山东 泰安 271000
- 折叠
摘要
Abstract
Objective:To evaluate the value of ultrasound-guided thrombin injection for femoral arterial pseudoaneurysms(PSA). Method:33 patients with femoral arterial pseudoaneurysms caused by coronary interventions were studied. After the tumor necks were compressed with ultrasound probes,thrombins were injected into the tumor cavities. The concentration of thrombin was 100 U/mL. The size and type of the PSA,length and width of PSA neck, thrombin dose,therapy outcome and complication were analyzed. Result:In 33 patients,25 were simple PSA,and 8 were complex PSA. mean volume of PSA was(9.0±5.0)cm3,mean width and length of PSA neck was(2.7±0.7)mm and (5.9±0.9)mm,respectively. Mean thrombin dose was(299±110)U. The success rate of the first injection was 90.9%. 3 patients had PSA recurrence after the first injection,but were cured after the second injection. No thromboembolic complications or infections occurred.All patients were successfully treated at the first time. No complication occurred during or after the operations,and no recurrence was found in a three-month follow-up. There was different significantly in the age,sex,body weight index and mean volume of PSA in two groups(P<0.05);there was not different in mean width and length of PSA neck(P>0.05). Conclusion:Ultrasound-guided thrombin injection is easy,safe and effective. It should be the initial treatment of choice for patients with postcatheterization pseudoaneurysms.关键词
彩色多普勒超声/假性动脉瘤/凝血酶Key words
Color doppler echo/Pseudoaneurysm/Thrombin引用本文复制引用
汪凡..超声引导下瘤腔内注射凝血酶治疗股动脉假性动脉瘤的临床研究[J].中国医学创新,2014,(17):52-54,55,4.
