CAJ | 학술논문

目的探讨彩色多普勒超声对行经皮腔内冠状动脉成形术(PTCA)后并发股动脉假性动脉瘤老年患者的诊断及治疗价值. 方法应用彩色多普勒超声诊断35例老年PTCA术后穿刺部位发现肿块或听诊有血管杂音的医源性假性动脉瘤患者,并在超声引导下探头垂直加压假性动脉瘤通道或破口直至内无血流通过,压迫失败患者再在超声引导下瘤腔内注射血凝酶(立止血)治疗.结果 35例老年患者PTCA术后假性动脉瘤彩色多普勒超声诊断与临床符合率100.0％(35/35),彩色多普勒超声引导下单纯压迫治愈31例,3例经瘤腔内注入血凝酶加压治愈,总治愈率为97.2％(34/35),1例治疗失败而行外科手术. 结论彩色多普勒超声对老年人PTCA术后股动脉假性动脉瘤的诊断准确、治疗有效,可作为老年人PTCA术后股动脉假性动脉瘤诊断和治疗的首选方法.
목적 탐토채색다보륵초성대행경피강내관상동맥성형술(PTCA)후병발고동맥가성동맥류노년환자적진단급치료개치. 방법 응용채색다보륵초성진단35례노년PTCA술후천자부위발현종괴혹은진유혈관잡음적의원성가성동맥류환자,병재초성인도하탐두수직가압가성동맥류통도혹파구직지내무혈류통과,압박실패환자재재초성인도하류강내주사혈응매(립지혈)치료.결과 35례노년환자PTCA술후가성동맥류채색다보륵초성진단여림상부합솔100.0％(35/35),채색다보륵초성인도하단순압박치유31례,3례경류강내주입혈응매가압치유,총치유솔위97.2％(34/35),1례치료실패이행외과수술. 결론 채색다보륵초성대노년인PTCA술후고동맥가성동맥류적진단준학、치료유효,가작위노년인PTCA술후고동맥가성동맥류진단화치료적수선방법.
Objective To evaluate the values of clinical application of color Doppler ultrasound in the diagnosis and treatment of iatrogenic femoral artery pseudoaneurysm (IFAP) in the elderly following percutaneous transluminal coronary angioplasty(PTCA). Methods A tota.of 35 patients aged(73.8±1.3) years with IFAP after PTCA were examined by color Doppler ultrasound.All cases were treated by compression simply for blocking blood flow with probe guided by ultrasound,and the failed cases were injected Reptilase into the lumen of pesudoaneurysm. Results 35 patients were diagnosed as IFAP by color Doppler ultrasound and the coincidence rate with clinical diagnosis was 100％ (35/35).Among all patients,31 cases were cured by simply compression guided by ultrasound and 3 cases were cured hy the injected reptilase into lumen,the cure rate was 97.15％(34/35).One cases was cured by surgery after failure to treat by the two above methods.34 cases (97.2％)were verified into occlusio by ultrasound after 24-48 h of treatment. Recurrence and other serious complications were not found during follow-up of 3-6 months. Conclusions Color Doppler ultrasound can be used for the preferred method in accurate diagnosis and effective cure of IFAP following PTCA in the elderly.