局解手术学杂志2016，Vol.25Issue(5)：342-346,5.DOI:10.11659/jjssx.03E016031
超声引导下注射凝血酶治疗医源性假性动脉瘤
Ultrasound-guided thrombin injection for treatment of iatrogenic femoral pseudoaneurysm
摘要
Abstract
Objective To investigate the best injection position and curative effect of ultrasound-guided thrombin injection (UGTI)on femoral pseudoaneurysm (FPA).Methods Review the data of FPA cases in the neurology department of southwest hospital from January 2010 to June 2015.Detailed clinical information of the patients,including the curative effect of local compression therapy,the position,meth-od,dosage and curative effect of ultrasound-guided thrombin injection were collected and analyzed.Results From January 2010 to June 2015,43 cases (1.20%)of FPA were diagnosed in 3573 patients undergoing cerebrovascular interventional operation.Local compression therapy was effective in 11 of 43 FPA patients.The remaining 32 patients who had no response to local compression therapy were treated by UGTI,and the average dosage of thrombin was (30 ±12)IU.All FPA were blocked successfully within 1 minute and without any distal em-bolism events after the first UGTI attempt.No relapse and complications occurred during the follow-up of 5 to 70 months,averagely (38.69 ± 20.79)months.Conclusion UGTI is effective for treatment of FPA who had no response to local compression therapy.Thrombin injection at position far away from the blood flow direction of pseudoaneurysm neck crevasse with ultrasound-guided could bring about highe success rate, less amount of thrombin,and less complications.关键词
股动脉假性动脉瘤/超声检查/凝血酶注射/血流动力学/注射部位Key words
femoral artery pseudoaneurysm/ultrasonography/thrombin injection/hemodynamics/injection position分类
医药卫生引用本文复制引用
江沛,史树贵,王益,卢龙,李光建,郭燕丽,陈康宁,周振华..超声引导下注射凝血酶治疗医源性假性动脉瘤[J].局解手术学杂志,2016,25(5):342-346,5.基金项目
第三军医大学西南医院临床科研专项 （）
