徐鹏,王宁夫,徐坚,叶显华,周亮,童国新,杨建敏,潘浩

• 1:杭州市第一人民医院暨南京医科大学附属杭州医院心内科

摘要(Abstract)：

目的探讨瘤腔内注射凝血酶治疗股动脉假性动脉瘤的疗效和安全性。方法78例股动脉假性动脉瘤的患者分别首选床边指压法(50例)和凝血酶注射法(28例)治疗。所有患者均使用GE LOGIQ9彩色多普勒超声仪确诊,凝血酶注射法组在超声引导下进行瘤腔内注射凝血酶栓塞治疗。结果指压法组50例患者中41例通过持续手指压迫治疗有效消除血管杂音和动脉瘤搏动,6例出现迷走神经反射,4例因不耐受再次压迫改用彩色多普勒引导下凝血酶注射法治愈,5例股动脉压迫治疗无效后改用凝血酶注射法治疗。凝血酶注射法组28例首选超声引导下瘤腔内注射凝血酶栓塞治疗的患者全部治愈,其中25例一次栓塞成功,2例经两次栓塞成功,1例出现血管迷走性晕厥;12例患者注射凝血酶后有体温轻度升高,自行好转;无动脉栓塞及静脉血栓形成、无凝血酶过敏表现、感染、出血等并发症。结论与指压法比较,超声引导下瘤腔内注射凝血酶的治疗方法有效性显著提高而不耐受性显著降低,是一种安全有效的方法。

关键词(KeyWords)： 动脉瘤,假性;股动脉;栓塞,治疗性;治疗结果

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 徐鹏,王宁夫,徐坚,叶显华,周亮,童国新,杨建敏,潘浩

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