CAJ | 학술논문

目的：探讨血管内栓塞治疗外周假性动脉瘤的方法及疗效。方法本组21例患者，肝动脉瘤2例，肾动脉瘤12例，直肠上动脉瘤1例，胃十二指肠动脉瘤1例，下肢动脉瘤3例及子宫动脉瘤2例。均行相关动脉造影，明确假性动脉瘤部位、范围、程度及血供情况，然后超选择插管至病变处，进行栓塞治疗，栓塞方法及栓塞剂的种类、剂量根据病变性质、造影表现及插管具体位置进行选择。结果21例患者均通过动脉造影明确诊断，DSA 造影假性动脉瘤呈现类圆形囊状突起。栓塞后再次造影见动脉瘤及其供血动脉消失，21例介入治疗均获成功。随防1～18个月，均未复发。结论血管内栓塞治疗外周假性动脉瘤，安全有效、创伤小、并发症少，是行之有效的治疗方法。
목적：탐토혈관내전새치료외주가성동맥류적방법급료효。방법본조21례환자，간동맥류2례，신동맥류12례，직장상동맥류1례，위십이지장동맥류1례，하지동맥류3례급자궁동맥류2례。균행상관동맥조영，명학가성동맥류부위、범위、정도급혈공정황，연후초선택삽관지병변처，진행전새치료，전새방법급전새제적충류、제량근거병변성질、조영표현급삽관구체위치진행선택。결과21례환자균통과동맥조영명학진단，DSA 조영가성동맥류정현류원형낭상돌기。전새후재차조영견동맥류급기공혈동맥소실，21례개입치료균획성공。수방1～18개월，균미복발。결론혈관내전새치료외주가성동맥류，안전유효、창상소、병발증소，시행지유효적치료방법。
Objective To discuss the technical points and clinical efficacy of transcatheter arterial embolization in the treatment of peripheral vascular pseudoaneurysm .Methods 21 patients with peripheral vascular pseudoaneurysm ,inclu‐ding 2 cases of hepatic pseudoaneurysm ,12 of renal pseudoaneurysm ,1 of superior rectal artery pseudoaneurysm ,1 of gastroduodenal pseudoaneurysm ,2 of uterine pseudoaneurysm ,and 3 of lower limbs pseudoaneurysm ,were diagnosed by selective angiography for localization ,characteristic ,extent ,degree and blood supply ,and followed by embolization with various embolic materials through Seldinger method .Results All patients were correctly diagnosed through selective angi‐ography .On DSA ,the pseudoaneurysm was manifested as a round sack‐like bulge ,which ,together with its feeding ves‐sels ,disappeared after embolization .Technical success was obtained in all 21 patients .During 1 ~ 18 month follow‐up ,the satisfactory embolization effect was observed .Conclusion Superselective transcatheter embolization for peripheral vascular pseudoaneurysm is both safe and effective .