CAJ | 학술논문

目的：探讨股动脉硬化在心血管介入术后假性动脉瘤形成的超声诊断分析。方法选择25例行股动脉穿刺术后假性动脉瘤形成的患者，采用彩色多普勒超声诊断仪进行诊断，观察穿刺点血管壁情况。结果在使用相同型号的动脉鞘管及凝血指标正常25例假性动脉瘤形成患者中，21例在穿刺点血管壁可见不同程度的硬化表现或高回声硬化斑块形成。结论股动脉穿刺点的血管硬化或斑块形成易形成假性动脉瘤，超声在术前可以明确诊断，对于已经发生假性动脉瘤形成的患者，超声检查提供的信息对指导治疗亦有重要价值。
목적：탐토고동맥경화재심혈관개입술후가성동맥류형성적초성진단분석。방법선택25례행고동맥천자술후가성동맥류형성적환자，채용채색다보륵초성진단의진행진단，관찰천자점혈관벽정황。결과재사용상동형호적동맥초관급응혈지표정상25례가성동맥류형성환자중，21례재천자점혈관벽가견불동정도적경화표현혹고회성경화반괴형성。결론고동맥천자점적혈관경화혹반괴형성역형성가성동맥류，초성재술전가이명학진단，대우이경발생가성동맥류형성적환자，초성검사제공적신식대지도치료역유중요개치。
Objective To observe the analysis of the ultrasonic diagnosis of pseudoaneurysm formation after the cardiovascular in-tervention surgery for femoral artery sclerosis. Methods 25 patients with pseudoaneurysms formation after the puncture of femoral artery were selected. Color Doppler ultrasonic diagnostic equipment was used for diagnosis. The blood vessel wall of puncture point was observed. Results Of the 25 cases of patients with pseudoaneurysm formation and normal coagulation index and using the same type of arterial sheath, the blood vessel wall of puncture point of 21 cases showed different level of sclerosis or formation of hyperechoic plaque. Conclusion Pseudoaneurysms are easily formed by the vascular sclerosis or plaque in the femoral artery puncture point, and which can be definitely diagnosed by ultrasound before the operation. For patients have the formation of pseu-doaneurysms, the information provided by ultrasonic examination also has important value of guiding the treatment.