CAJ | 학술논문

目的：探讨超声引导压迫修复法（ UGCR ）治疗医源性股动脉假性动脉瘤（ PSA ）的应用价值。方法回顾性分析25例心导管术后医源性股动脉PSA的彩色多普勒超声（ CDU ）表现；用CDU确定瘤口位置后，采用UGCR对股动脉PSA进行修复治疗。结果25例医源性股动脉PSA经UGCR治疗后21例修复成功，成功率84．0％，修复时间（28．80±9．71）min；有瘤颈组压迫（6．23±2．20）min，短于无颈瘤组的（8．68±2．10）min（P＜0．05）；有无附壁血栓组压迫时间近似（ P＞0．05）。结论 UGCR在医源性股动脉PSA中修复成功率较高，压迫修复时间有瘤颈者短于无瘤颈者。
목적：탐토초성인도압박수복법（ UGCR ）치료의원성고동맥가성동맥류（ PSA ）적응용개치。방법회고성분석25례심도관술후의원성고동맥PSA적채색다보륵초성（ CDU ）표현；용CDU학정류구위치후，채용UGCR대고동맥PSA진행수복치료。결과25례의원성고동맥PSA경UGCR치료후21례수복성공，성공솔84．0％，수복시간（28．80±9．71）min；유류경조압박（6．23±2．20）min，단우무경류조적（8．68±2．10）min（P＜0．05）；유무부벽혈전조압박시간근사（ P＞0．05）。결론 UGCR재의원성고동맥PSA중수복성공솔교고，압박수복시간유류경자단우무류경자。
Objective To evaluate the application of ultrasound-guided compression repair(UGCR) in the treatment of iatrogenic femoral artery pseudoaneurysm(PSA).Methods The color Doppler ultrasound(CDU) images of 25 cases of femoral artery pseudoaneurysm following percutaneous coronary intervention were analyzed retrospectively .The patients with femoral artery PSA underwent UGCR following the orificium fistulae had been fixed their positions by CDU.Results Among 25 cases of iatrogenic femoral artery PSA ,21 succeed,the achievement ratio was 84.0%,the mean repair time was (28.80 ±9.71) minutes.The compression time was (6.23 ±2.20) minutes in the group of aneurysm neck presence,which was shorter than that [(8.68 ±2.10) minutes] in the group of aneurysm neck absence(P<0.05).There was no significant difference in the compression time between the group of parietalthrombus presence and the group of parietalthrombus absence ( P>0 .05 ) .Conclusion UGCR has a higher achievement ratio in the treatment of iatrogenic femoral artery PSA.The patients with aneurysm neck presence have a shorter compression time compared with the patients with aneurysm neck absence .