超声指导下压迫与局部加压包扎修复冠状动脉介入术后假性动脉瘤Comparison of pressure bandage with ultrasound-guided compression for pseudoaneurysms after percutaneous coronary intervention
张崟,吕强,马长生,张维东,康俊萍,贾长琪,赵卓,吴学思
摘要(Abstract)：
目的 比较超声指导下压迫与局部加压包扎修复两种方法治疗冠状动脉介入术后出现的假性动脉瘤。方法 将 10 5例股动脉假性动脉瘤的患者根据治疗方法的差异分为超声指导下压迫组和局部加压包扎修复组 ,比较其临床情况和治疗效果。结果 两组在性别、年龄、体重、体重指数、介入类型、动脉鞘管直径、是否应用抗血小板药物和低分子肝素、介入术中收缩压和舒张压水平方面差异均无显著性。超声指导下压迫治疗组的成功率明显高于局部加压包扎组 (85 %比 6 3% ,P =0 0 3)。两组均未出现与治疗相关的并发症。结论 超声指导下压迫操作简单 ,费用低 ,并发症少 ,可以作为治疗假性动脉瘤的首选方法。
关键词(KeyWords)： 假性动脉瘤/超声检查;经皮冠状动脉介入术;超声指导下压迫;局部加压包扎
基金项目(Foundation):
作者(Author): 张崟,吕强,马长生,张维东,康俊萍,贾长琪,赵卓,吴学思
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