[1]孙 念,高传芬.超声对医源性股动脉假性动脉瘤及动静脉瘘的诊疗价值[J].医学信息,2021,34(12):172-175.[doi:10.3969/j.issn.1006-1959.2021.12.047]
 SUN Nian,GAO Chuan-fen.The Value of Ultrasound in Diagnosis and Treatment of Iatrogenic Femoral Artery Pseudoaneurysm and Arteriovenous Fistula[J].Medical Information,2021,34(12):172-175.[doi:10.3969/j.issn.1006-1959.2021.12.047]
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超声对医源性股动脉假性动脉瘤及动静脉瘘的诊疗价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
172-175
栏目:
诊疗技术
出版日期:
2021-06-15

文章信息/Info

Title:
The Value of Ultrasound in Diagnosis and Treatment of Iatrogenic Femoral Artery Pseudoaneurysm and Arteriovenous Fistula
文章编号:
1006-1959(2021)12-0172-04
作者:
孙 念高传芬
(安徽医科大学第一附属医院超声科,安徽 合肥 230000)
Author(s):
SUN NianGAO Chuan-fen
(Department of Ultrasound,the First Affiliated Hospital of Anhui Medical University,Hefei 230000,Anhui,China)
关键词:
彩色多普勒超声医源性假性动脉瘤动静脉瘘凝血酶
Keywords:
Color Doppler ultrasoundIatrogenicPseudoaneurysmArteriovenous fistulaThrombin
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2021.12.047
文献标志码:
A
摘要:
目的 探讨彩色多普勒超声在医源性股动脉假性动脉瘤及动静脉瘘诊疗中的应用价值。方法 回顾性分析2018年1月~2020年1月安徽医科大学第一附属医院收治的63例患者医源性股动脉假性动脉瘤或动静脉瘘的超声声像图,分析其在诊断、治疗和复查中的应用价值。结果 股动脉假性动脉瘤52例,股动脉动静脉瘘7例,两者并存4例,诊断符合率为100%;瘘口内径0.8~3.8 mm,平均瘘口内径(2.00±0.73)mm,平均瘘道内血流速度(213.35±74.24)cm/s;52例假性动脉瘤中,选择单纯局部压迫或超声引导下压迫34例,选择超声引导下凝血酶注射治疗18例;愈合时间2 d~11个月。结论 超声在医源性股动脉假性动脉瘤和动静脉瘘的诊断、治疗及复查中有良好的应用价值,可作为诊治股动脉假性动脉瘤及动静脉瘘的影像学方法。
Abstract:
Objective To explore the value of color Doppler ultrasound in the diagnosis and treatment of iatrogenic femoral artery pseudoaneurysms and arteriovenous fistulas.Methods A retrospective analysis of the ultrasound images of 63 patients with iatrogenic femoral artery pseudoaneurysms or arteriovenous fistulas admitted to the First Affiliated Hospital of Anhui Medical University from January 2018 to January 2020.Analyze its application value in diagnosis, treatment and review.Results There were 52 cases of femoral artery pseudoaneurysm, 7 cases of femoral artery arteriovenous fistula, 4 cases of both coexisted, and the diagnosis coincidence rate was 100%;The inner diameter of the fistula was 0.8~3.8 mm, the average inner diameter of the fistula was (2.00±0.73) mm, and the average blood flow velocity in the fistula was (213.35±74.24) cm/s;among 52 cases of pseudoaneurysms, 34 cases were treated by local compression or ultrasound-guided compression, and 18 cases were treated by ultrasound-guided thrombin injection;The healing time was 2 d to 11 months.Conclusion Ultrasound has good application value in the diagnosis, treatment and review of iatrogenic femoral artery pseudoaneurysms and arteriovenous fistulas. It can be used as an imaging method for the diagnosis and treatment of femoral artery pseudoaneurysms and arteriovenous fistulas.

参考文献/References:

[1]Badr S,Kitabata H,Torguson R,et al.Incidence and correlates in the development of iatrogenic femoral pseudoaneurysm after percutaneous coronary interventions[J].J Interv Cardiol,2014,27(2):212-216. [2]Ehieli WL,Bozdogan E,Janas G,et al.Imaging-guided percutaneous thrombin injection for the treatment of iatrogenic femoral artery pseudoaneurysms[J].Abdom Radiol(NY),2019,44(3):1120-1126. [3]Corso R,Rampoli A,Riolo F,et al.Occlusion of postcatheterisation femoral pseudoaneurysms with percutaneous thrombin injection under ultrasound guidance[J].Radiol Med,2004,108(4):385-393. [4]Kurzawski J,Janion-Sadowska A,Sadowski M.A novel minimally invasive method of successful tissue glue injection in patients withiatrogenic pseudoaneurysm[J].Br J Radiol,2018,91(1087):20170538. [5]Irpachi K,Kiran U.Life-threatening ruptured femoral artery pseudoaneurysm:A delayed complication of endovascular aortic repair of abdominal aortic aneurysm[J].Ann Card Anaesth,2016,19(1):154-155. [6]朱姜.超声引导在治疗医源性股动脉假性动脉瘤的应用[J].实用医学影像杂志,2016,17(6):521-523. [7]周祝谦,李爱银,李桂杰,等.下肢动脉疾病的CDUS、CTA与DSA对比研究[J].医学诊断,2013(3),37-41. [8]管林军,熊华花,贡雪灏,等.后天性肢体动静脉瘘治疗前后超声评价[J].中华临床医师杂志,2017,11(8),1313-1317. [9]张东竹,刘学,杜瑛,等.超声在治疗医源性股动脉假性动脉瘤中的临床价值[J].重庆医学,2017,46(28):3965-3967. [10]张欢,张福先.超声引导下凝血酶注射术治疗医源性股动脉假性动脉瘤的临床应用[J].国际外科学杂志,2015,42(6):396-398. [11]Ehieli WL,Bozdogan E,Janas G,et al.Imaging-guided percutaneous thrombin injection for the treatment of iatrogenic femoral artery pseudoaneurysms[J].Abdom Radiol(NY),2019,44(3):1120-1126. [12]丁华瑛,李忠超.彩色多普勒超声在四肢假性动脉瘤诊断中的应用价值[J].心理医生,2016,22(26):155-157. [13]杨帆,刘庆春,陈巧珠.彩色多普勒超声对股动脉穿刺并发症的诊断价值[J].华夏医学,2016,29(2):161-164. [14]李亮,张蕾,勇强,等.改良方法超声引导下瘤腔内注射凝血酶对股动脉假性动脉瘤的治疗[J].血管与腔内血管外科杂志,2016,2(4):276-277.

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更新日期/Last Update: 1900-01-01