CAJ | 학술논문

目的：研究超声引导下凝血酶注射在医源性股动脉假性动脉瘤治疗中的应用价值。方法在彩色超声多普勒引导下，采用21G PTC针经皮穿刺，对2010年5月-2013年4月本院介入超声科的39例医源性股动脉假性动脉瘤患者瘤内注射凝血酶(250 U/ml，总量均≤150 U)。结果39例均成功行超声引导下凝血酶注射治疗，瘤腔内血流信号均消失，但3例术后瘤颈处可见少许血流信号，术中、术后无并发症发生，术后无复发。结论超声引导下凝血酶注射治疗医源性股动脉假性动脉瘤操作简便、临床疗效可靠、并发症少、复发率低，临床应用价值较高。
목적：연구초성인도하응혈매주사재의원성고동맥가성동맥류치료중적응용개치。방법재채색초성다보륵인도하，채용21G PTC침경피천자，대2010년5월-2013년4월본원개입초성과적39례의원성고동맥가성동맥류환자류내주사응혈매(250 U/ml，총량균≤150 U)。결과39례균성공행초성인도하응혈매주사치료，류강내혈류신호균소실，단3례술후류경처가견소허혈류신호，술중、술후무병발증발생，술후무복발。결론초성인도하응혈매주사치료의원성고동맥가성동맥류조작간편、림상료효가고、병발증소、복발솔저，림상응용개치교고。
Objective To study the application of ultrasound-guided thrombin injection (UGTI) in treatment of iatrogenic femoral pseudoaneurysm (IFPA).Methods Thirty-nine IFPA patients admitted to our department from May 2010 to April 2013 were included in this study. The patients were injected with 250 U/ml thrombin (the total dose≤150 U) by percutaneous puncture using the 21G PTC needle.Results The UGTI was successful in the 39 patients with no recurrence after operation and no complication during and after operation. The bloodflow signals in tumor cavity disappeared except a small number of few bloodflow signals in tumor neck in 3 patients after UGTI.Conclusion UGTI is a simple and reliable treatment modality for IFPA with minimal invasiveness and a low complication and recurrence rate, and can thus be widely applied in clinical practice.