[1]周 云,陈松旺,黄 岩,等.超声导引下瘤体旁注射0.9%氯化钠溶液治疗股动脉假性动脉瘤18例 [J].介入放射学杂志,2018,27(02):163-166.
 ZHOU Yun,CHEN Songwang,HUANG Yan,et al.Ultrasound- guided para- aneurysmal saline injection for the treatment of iatrogenic femoral pseudoaneurysm: preliminary results in 18 patients[J].journal interventional radiology,2018,27(02):163-166.
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超声导引下瘤体旁注射0.9%氯化钠溶液治疗股动脉假性动脉瘤18例 


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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年02期
页码:
163-166
栏目:
临床研究
出版日期:
2018-02-25

文章信息/Info

Title:
Ultrasound- guided para- aneurysmal saline injection for the treatment of iatrogenic femoral pseudoaneurysm: preliminary results in 18 patients
作者:
周 云 陈松旺 黄 岩 宋进华 顾建平
Author(s):
ZHOU Yun CHEN Songwang HUANG Yan SONG Jinhua GU Jianping
Department of Ultrasound, Affiliated Nanjing Hospital, Nanjing Medical University, Nanjing, Jiangsu Province 210006, China
关键词:
【关键词】 假性动脉瘤 彩色多普勒超声 0.9%氯化钠溶液 股动脉
文献标志码:
A
摘要:
【摘要】 目的 探讨超声导引下瘤体旁注射0.9%氯化钠溶液(PASI)治疗医源性股动脉假性动脉瘤(FAP)的临床价值。方法 18例股动脉穿刺介入治疗术后患者,经临床及彩色超声检查明确诊断为FAP。PASI手术在彩色超声实时导引和心电监护下进行,1%利多卡因5~10 ml局部麻醉成功后,21 G穿刺针经皮穿刺至瘤体与股动脉间瘘道周边2~5 mm处,缓慢注入0.9%氯化钠溶液,直至瘘道内异常血流信号消失,压迫约5 min。记录0.9%氯化钠溶液注射剂量、操作时间。术后24 h、1周、1个月进行临床和彩色超声复查,观察局部搏动、杂音,检测瘤腔内血流及血栓形成情况。结果 17例1次成功(17/18,94.4%),1例术后24 h复查发现瘤体内仍有持续血流信号,第2次PASI取得成功。手术操作时间14~30 min,平均(19±8) min;0.9%氯化钠溶液注射量40~150 ml,平均(67.2±29.3) ml。所有患者均能很好耐受治疗过程,仅有1例出现迷走神经反射所致一过性心动过缓;术后30 d随访未发现瘤体内血流恢复,未观察到静脉血栓、肢体缺血、局部感染等并发症,瘤体内血肿完全吸收。结论 PASI术治疗FAP方法简单、安全,费用低廉,患者耐受性好,值得临床推广应用。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2017-02-23)
(本文编辑:边 佶)
更新日期/Last Update: 2018-02-24