超声引导下局部压迫或注射凝血酶治疗动脉插管术后假性动脉瘤的临床应用

目的探讨彩色多普勒超声引导下压迫或注射治疗假性动脉瘤的方法及疗效评估。方法 在超声引导下对20例动脉插管术后所致股动脉及锁骨下动脉假性动脉瘤患者，行压迫及注射治疗。结果14例假性动脉瘤采用单纯压迫法治疗，成功率为86％(12／14)。2例锁骨下动脉假性动脉瘤瘤内注射医用吻合胶(OB胶)，1例闭合后动脉瘤处产生硬块，另1例形成远端动脉阻塞。4例注射凝血酶者治疗成功率为100％(4／4)。结论 超声引导下对动脉插管术后假性动脉瘤采用单纯压迫法或瘤内注射凝血酶治疗是简单、安全、有效的方法，而采用瘤内注射医用OB胶则可能产生并发症。

Clinical application of color Doppler ultrasound-guided compression and injection treatment of postangiographic pseudoaneurysms

Objective To investigate the methods and evaluate their efficacy of pseudoaneurysms by color Doppler ultrasound guided compression and injection treatment.Methods Twenty patients with seventeen femoral artery pseudoaneurysms and three subclavian artery pseudoaneurysms underwent compression and injection treatment with color Doppler ultrasound guided.Results Simple compression method presented a successful rate of 86%(12 out of 14 patients).Two with subclavian artery pseudoaneurysms were injected with medical OB glue,as a result,one had a hard knot in the lesion after treatment,the other was thrombosed in the remote artery.Thrombin injection achieved the rate of success 100%, 4 in 4 patients.Conclusions Color Doppler ultrasound guided compression and thrombin injection is a simple,safe and effective method for the treatment of postangiographic pseudoaneurysms,but medical OB glue injection may bring about complications.