摘要
目的探讨彩色多普勒超声对行经皮腔内冠状动脉成形术（PTCA）后并发股动脉假性动脉瘤老年患者的诊断及治疗价值。方法应用彩色多普勒超声诊断35例老年PTCA术后穿刺部位发现肿块或听诊有血管杂音的医源性假性动脉瘤患者，并在超声引导下探头垂直加压假性动脉瘤通道或破口直至内无血流通过，压迫失败患者再在超声引导下瘤腔内注射血凝酶（立止血）治疗。结果35例老年患者PTCA术后假性动脉瘤彩色多普勒超声诊断与临床符合率100．0％（35／35），彩色多普勒超声引导下单纯压迫治愈31例，3例经瘤腔内注入血凝酶加压治愈，总治愈率为97．2％（34／35），1例治疗失败而行外科手术。结论彩色多普勒超声对老年人PTCA术后股动脉假性动脉瘤的诊断准确、治疗有效，可作为老年人PTCA术后股动脉假性动脉瘤诊断和治疗的首选方法。
Objective To evaluate the values of clinical application of color Doppler ultrasound in the diagnosis and treatment of iatrogenic femoral artery pseudoaneurysm （IFAP） in the elderly following percutaneous transluminal coronary angioplasty（PTCA）. Methods A total of 35 patients aged（73.8 ± 1.3） years with IFAP after PTCA were examined by color Doppler ultrasound. All cases were treated by compression simply for blocking blood flow with probe guided by ultrasound, and the failed cases were injected Reptilase into the lumen of pesudoaneurysm. Results 35 patients were diagnosed as IFAP by color Doppler ultrasound and the coincidence rate with clinical diagnosis was 100 %（35/35）. Among all patients, 31 cases were cured by simply compression guided by ultrasound and 3 cases were cured by the injected reptilase into lumen, the cure rate was 97.15%（34/35）. One cases was cured by surgery after failure to treat by the two above methods. 34 cases （97.2%） were verified into occlusio by ultrasound after 24-48 h of treatment. Recurrence and other serious complications were not found during follow-up of 3-6 months. Conclusions Color Doppler ultrasound can be used for the preferred method in accurate diagnosis and effective cure of IFAP following PTCA in the elderly.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2012年第4期313-315,共3页
Chinese Journal of Geriatrics
