CAJ | 학술논문

目的：探讨彩色多普勒超声对医源性股动脉假性动脉瘤的诊断及治疗价值。方法对22例经皮股动脉穿刺介入术后触及搏动性肿块的患者采用二维超声、彩色多普勒超声、频谱多普勒超声检查，对声像图进行总结分析，在超声引导下压迫及注射治疗。结果本组22例假性动脉瘤彩色多普勒超声诊断与临床符合率100%（22/22），18例经超声引导下压迫治疗后瘤腔闭合，3例经瘤腔内注射凝血酶治疗取得满意疗效，总治愈率95%（21/22），1例行外科手术治疗。结论彩色多普勒超声是医源性假性动脉瘤首选的诊断及治疗方法。
목적：탐토채색다보륵초성대의원성고동맥가성동맥류적진단급치료개치。방법대22례경피고동맥천자개입술후촉급박동성종괴적환자채용이유초성、채색다보륵초성、빈보다보륵초성검사，대성상도진행총결분석，재초성인도하압박급주사치료。결과본조22례가성동맥류채색다보륵초성진단여림상부합솔100%（22/22），18례경초성인도하압박치료후류강폐합，3례경류강내주사응혈매치료취득만의료효，총치유솔95%（21/22），1례행외과수술치료。결론채색다보륵초성시의원성가성동맥류수선적진단급치료방법。
Objective To discuss the value of color Doppler ultrasound examination in the diagnosis and treat-ment of iatrogenic femoral artery pseudoaneurysm. Methods To analyze and conclude the ultrasonograms of 22 pa-tients who were detected with pulsatile mass under two-dimension ultrasonography, color Doppler and pulsed wave Doppler ultrasonic examinations after percutaneous femoral artery puncture operations and ultrasound-guided com-pression and injection treatment. Results The clinical coincident rate of the color Doppler ultrasound examination results of the 22 cases of pseudoaneurysm is 100% (22/22). Of the 22 patients, 18 patients′ tumor cavities have been closed with ultrasound-guided compression treatment, 3 patients were proved to be cured with satisfactory therapeutic effect after the treatment of injecting thrombin into their tumor cavities and the rest 1 patient was treated with surgical operation; the general cure rate is 95%. Conclusion Color Doppler ultrasound examination is the priority method in the diagnosis and treatment of the iatrogenic femoral artery pseudoaneurysm cases.