中华解剖与临床杂志
中華解剖與臨床雜誌
중화해부여림상잡지
Chinese Journal of Anatomy and Clinics
2014年
4期
294-298
,共5页
脑血管造影%桡动脉%股动脉
腦血管造影%橈動脈%股動脈
뇌혈관조영%뇨동맥%고동맥
Cerebral angiography%Radial artery%Femoral artery
目的：探讨经桡动脉途径行全脑血管造影的可行性、安全性及有效性。方法2012年6月-2013年10月经桡动脉途径行全脑血管造影检查165例(桡动脉组)，同期经股动脉途径行全脑血管造影183例(股动脉组)，对其临床资料进行回顾分析。对两组患者的穿刺时间、穿刺成功率、手术操作时间、造影剂剂量、造影成功率、术后恢复时间及总并发症发生率进行统计分析。结果两组患者中桡动脉组有2例穿刺失败，改为股动脉途径完成造影，其他患者均顺利完成造影。两组患者的平均穿刺时间、穿刺成功率、手术操作时间、造影剂剂量、造影成功率，桡动脉组分别为(2.3±1.2)min、98.8%(163/165)、(30.32±7.23)min、(63±13)ml、98.8%(163/165)，股动脉组分别为(2.1±0.9)min、100%(183/183)、(28.95±8.21)min、(61±11)ml、100%(183/183)，两组间比较差异均无统计学意义(P值均>0.05)。桡动脉组术后恢复时间为(5.6±2.3)h、总并发症的发生率1.2%(2/163)，股动脉组术后恢复时间为(23.8±4.2)h、总并发症的发生率10.4%(19/183)，两组间比较，差异均有统计学意义(P值均<0.05)。结论经桡动脉途径行全脑血管造影术安全、有效，患者痛苦小、易接受，并发症发生率低，术后恢复快，可作为脑血管造影的常用途径之一。
目的：探討經橈動脈途徑行全腦血管造影的可行性、安全性及有效性。方法2012年6月-2013年10月經橈動脈途徑行全腦血管造影檢查165例(橈動脈組)，同期經股動脈途徑行全腦血管造影183例(股動脈組)，對其臨床資料進行迴顧分析。對兩組患者的穿刺時間、穿刺成功率、手術操作時間、造影劑劑量、造影成功率、術後恢複時間及總併髮癥髮生率進行統計分析。結果兩組患者中橈動脈組有2例穿刺失敗，改為股動脈途徑完成造影，其他患者均順利完成造影。兩組患者的平均穿刺時間、穿刺成功率、手術操作時間、造影劑劑量、造影成功率，橈動脈組分彆為(2.3±1.2)min、98.8%(163/165)、(30.32±7.23)min、(63±13)ml、98.8%(163/165)，股動脈組分彆為(2.1±0.9)min、100%(183/183)、(28.95±8.21)min、(61±11)ml、100%(183/183)，兩組間比較差異均無統計學意義(P值均>0.05)。橈動脈組術後恢複時間為(5.6±2.3)h、總併髮癥的髮生率1.2%(2/163)，股動脈組術後恢複時間為(23.8±4.2)h、總併髮癥的髮生率10.4%(19/183)，兩組間比較，差異均有統計學意義(P值均<0.05)。結論經橈動脈途徑行全腦血管造影術安全、有效，患者痛苦小、易接受，併髮癥髮生率低，術後恢複快，可作為腦血管造影的常用途徑之一。
목적：탐토경뇨동맥도경행전뇌혈관조영적가행성、안전성급유효성。방법2012년6월-2013년10월경뇨동맥도경행전뇌혈관조영검사165례(뇨동맥조)，동기경고동맥도경행전뇌혈관조영183례(고동맥조)，대기림상자료진행회고분석。대량조환자적천자시간、천자성공솔、수술조작시간、조영제제량、조영성공솔、술후회복시간급총병발증발생솔진행통계분석。결과량조환자중뇨동맥조유2례천자실패，개위고동맥도경완성조영，기타환자균순리완성조영。량조환자적평균천자시간、천자성공솔、수술조작시간、조영제제량、조영성공솔，뇨동맥조분별위(2.3±1.2)min、98.8%(163/165)、(30.32±7.23)min、(63±13)ml、98.8%(163/165)，고동맥조분별위(2.1±0.9)min、100%(183/183)、(28.95±8.21)min、(61±11)ml、100%(183/183)，량조간비교차이균무통계학의의(P치균>0.05)。뇨동맥조술후회복시간위(5.6±2.3)h、총병발증적발생솔1.2%(2/163)，고동맥조술후회복시간위(23.8±4.2)h、총병발증적발생솔10.4%(19/183)，량조간비교，차이균유통계학의의(P치균<0.05)。결론경뇨동맥도경행전뇌혈관조영술안전、유효，환자통고소、역접수，병발증발생솔저，술후회복쾌，가작위뇌혈관조영적상용도경지일。
Objective To explore the feasibility, efficacy and safety of transradial approach to cerebral angiography. Methods From Jun. 2012 to Oct. 2013, a total of 165 cerebral angiographies were performed via a transradial approach, 183 transfemoral cerebral angiography as control. The puncture time, the success rate of puncture, the time of procedure, the dosage of contrast media, the rate of success, the rate of total complications and the recovery time were compared between two groups. Results The operation failed in 2 cases in transradial group changed to transfemoral approach to complete cerebral angiography, other patients were successfully performed. The average time of puncture, the success rate of puncture, the time of procedure, the dosage of contrast media and the rate of success in transradial cerebral angiography were(2.3±1.2)min,98.8%(163/165),(30.32±7.23)min,(63±13)mland98.8%(163/165) , respectively. The same measures in transfemoral cerebral angiography were(2. 1 ± 0. 9) min, 100%(183/183),(28. 95 ± 8. 21)min, (61 ± 11)ml and 100%(183/183), respectively. There were no significant differences between two groups(all P values >0. 05). The recovery time after procedure and the total complications rate in transradial cerebral angiography group were (5. 6 ± 2. 3h) and 1. 2% (2/163), respectively. The same measures in transfemoral cerebral angiography were (23. 8 ± 4. 2h)and 10. 4%(19/183), respectively. The recovery time after procedure were significantly superior to those of transfemoral group, the complication rate was obviously lower in transradial approach group than that in transfemoral approach group(all P values<0. 05). Conclusions This study suggests that cerebral angiography using a transradial approach can be performed with minimal risk of morbidity and more utility. In particular, this procedure might be useful to decrease complication and lessen patient′s discomfort and stress, and it is easy to be accepted, transradial cerebral angiography is worth using generally.
