CAJ | 학술논문

目的　为提高Seldinger股动脉穿刺技术的成功率，降低并发症，使得血管内介入放射新技术在临床顺利开展。方法　在改良Seldinger技术的基础上，将其改进为股动脉指间定位法，即术者的左手食、中指平行于股动脉，将股动脉置于二指间中，扪其搏动定位。结果　改良Seldinger技术股动脉指间定位法一针穿刺成功率为72%，明显高于传统的定位法（23%）。结论　改良Seldinger技术股动脉指间定位法的应用，使一针穿刺成功率显著提高，血肿并发症降低，利于血管内介入诊断与治疗新技术的开展。
목적　위제고Seldinger고동맥천자기술적성공솔，강저병발증，사득혈관내개입방사신기술재림상순리개전。 방법　재개량Seldinger기술적기출상，장기개진위고동맥지간정위법，즉술자적좌수식、중지평행우고동맥，장고동맥치우이지간중，문기박동정위。 결과　개량Seldinger기술고동맥지간정위법일침천자성공솔위72%，명현고우전통적정위법（23%）。 결론　개량Seldinger기술고동맥지간정위법적응용，사일침천자성공솔현저제고，혈종병발증강저，리우혈관내개입진단여치료신기술적개전。
To improve success rate for femoral artery puncture with intravascular modified Seldinger's technique, and decrease its complications. Methods　On base of modified Seldinger's technique, we devised a method of inter-finger location for femoral puncture, ie, the operator put his indicator and middle finger close and parallel to femeoral artery, felt artery pulsation and located it. Results　The success and complication rate for inter-finger locations and traditional locations are 72%,23%, respectively. Conclusion　Inter-finger location method based on modified Seldinger's technique can raise success rate for femoral puncture, decrease complication rate, such as hematomas, henefiting developement of intravascular interventional diagnosis and treatment.