中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
9期
1300-1301,1302
,共3页
超声检查,介入性%治疗,临床研究性%动脉瘤,假性
超聲檢查,介入性%治療,臨床研究性%動脈瘤,假性
초성검사,개입성%치료,림상연구성%동맥류,가성
Ultrasonography,Interventional%Therapies,Investigational%Aneurysm,False
目的：研究彩色多普勒超声引导下凝血酶注射治疗股动脉假性动脉瘤的临床应用价值。方法选择60例假性动脉瘤患者为观察组，按随机数字表法将其分为A组与B组，A组超声引导下行压迫疗法，B组超声引导下行凝血酶注射治疗；同时选取假性动脉瘤手术治疗30例作对照组，统计治疗的成功率、血栓形成时间及并发症发生率。结果 A组30例，首次压迫成功14例，首次压迫成功率46．6％，重复压迫成功率87．5％。2例后经凝血酶注射疗法治疗成功。 B组腔内凝血酶注射治疗30例，首次注射治愈24例，首次注射成功率80．0％；两次注射最终全部治愈。血栓形成时间（0．30±0.05）min。 A、B组首次治疗成功率及血栓形成时间差异均有统计学意义，均P＜0．01。手术治疗30例，全部治愈。术后并发症发生率6．7％。A组与B组在首次治疗成功率及并发症发生率差异均有统计学意义（ P＜0．05）。 A组及B组总成功率均为100．0％，两组差异无统计学意义（P＞0．05）。对照组术后并发症发生率6．7％，两组差异有统计学意义（P＜0．05）。结论在股动脉假性动脉瘤定位与穿刺治疗方面，彩色多普勒超声定位、引导可靠，腔内凝血酶注射治疗成功率及血栓形成时间上显著优于超声引导下的压迫治疗，拥有广泛的应用前景。
目的：研究綵色多普勒超聲引導下凝血酶註射治療股動脈假性動脈瘤的臨床應用價值。方法選擇60例假性動脈瘤患者為觀察組，按隨機數字錶法將其分為A組與B組，A組超聲引導下行壓迫療法，B組超聲引導下行凝血酶註射治療；同時選取假性動脈瘤手術治療30例作對照組，統計治療的成功率、血栓形成時間及併髮癥髮生率。結果 A組30例，首次壓迫成功14例，首次壓迫成功率46．6％，重複壓迫成功率87．5％。2例後經凝血酶註射療法治療成功。 B組腔內凝血酶註射治療30例，首次註射治愈24例，首次註射成功率80．0％；兩次註射最終全部治愈。血栓形成時間（0．30±0.05）min。 A、B組首次治療成功率及血栓形成時間差異均有統計學意義，均P＜0．01。手術治療30例，全部治愈。術後併髮癥髮生率6．7％。A組與B組在首次治療成功率及併髮癥髮生率差異均有統計學意義（ P＜0．05）。 A組及B組總成功率均為100．0％，兩組差異無統計學意義（P＞0．05）。對照組術後併髮癥髮生率6．7％，兩組差異有統計學意義（P＜0．05）。結論在股動脈假性動脈瘤定位與穿刺治療方麵，綵色多普勒超聲定位、引導可靠，腔內凝血酶註射治療成功率及血栓形成時間上顯著優于超聲引導下的壓迫治療，擁有廣汎的應用前景。
목적：연구채색다보륵초성인도하응혈매주사치료고동맥가성동맥류적림상응용개치。방법선택60례가성동맥류환자위관찰조，안수궤수자표법장기분위A조여B조，A조초성인도하행압박요법，B조초성인도하행응혈매주사치료；동시선취가성동맥류수술치료30례작대조조，통계치료적성공솔、혈전형성시간급병발증발생솔。결과 A조30례，수차압박성공14례，수차압박성공솔46．6％，중복압박성공솔87．5％。2례후경응혈매주사요법치료성공。 B조강내응혈매주사치료30례，수차주사치유24례，수차주사성공솔80．0％；량차주사최종전부치유。혈전형성시간（0．30±0.05）min。 A、B조수차치료성공솔급혈전형성시간차이균유통계학의의，균P＜0．01。수술치료30례，전부치유。술후병발증발생솔6．7％。A조여B조재수차치료성공솔급병발증발생솔차이균유통계학의의（ P＜0．05）。 A조급B조총성공솔균위100．0％，량조차이무통계학의의（P＞0．05）。대조조술후병발증발생솔6．7％，량조차이유통계학의의（P＜0．05）。결론재고동맥가성동맥류정위여천자치료방면，채색다보륵초성정위、인도가고，강내응혈매주사치료성공솔급혈전형성시간상현저우우초성인도하적압박치료，옹유엄범적응용전경。
Objective To study the clinical applicated value of thrombin injection in the treatment of 30 pa-tients with femoral artery pseudo-aneurysm guided by color Doppler ultrasound .Methods 60 patients with femoral artery pseudoaneurysm were selected as the observation group ,according to a random number table ,they were divided into A group and B group ,A group was treated with ultrasound guided compression therapy ,B group was treated with ultrasound guided thrombin injection;also early femoral artery pseudoaneurysm OK conventional surgical methods for the treatment of 30 patients in the control group .The statistical method of ultrasound-guided two treatment success rate,thrombus formation time and observation group and control group success rate and complication rate .Results Ultrasound-guided compression therapy for 30 cases,14 cases of successful initial oppression ,oppression success rate of 46.6%for the first time,repeat oppression the success rate of 87.5%.Two cases were cured after thrombin injec-tion therapy .B group was treated with thrombin injection of endovascular ,24 cases in 30 cases were cured after first injection,the first injection success rate of 80.0%;all cases were cured after two injections .Thrombus formation time was(0.30 ±0.05)min.treatment success rates for the first time and thrombus formation time were significantly differ-ent(all P<0.01).30 cases were cured by surgical treatment .Postoperative complication rate was 6.7%.The first treatment success rates and complication rates of the two groups were significantly different (P<0.05).The total suc-cess rates of the observation group and the control group were 100%respectively .The difference was not statistically significant(P>0.05).Compared with the observation group ,the incidence rate of postoperative complications of con-trol group was 6.7%(P>0.05).Conclusion In the femoral artery pseudoaneurysm positioning and puncture thera-py,Color Doppler ultrasound-guided thrombin may provide a reliable basis , thrombosis treatment success rate and thrombus formation time were significantly better than that of ultrasound-guided compression therapy ,which has broad application prospects .
