彩色多普勒超声对医源性股动脉假性动脉瘤的临床应用

目的：探讨彩色多普勒超声对医源性股动脉假性动脉瘤的诊断及治疗价值。方法对22例经皮股动脉穿刺介入术后触及搏动性肿块的患者采用二维超声、彩色多普勒超声、频谱多普勒超声检查，对声像图进行总结分析，在超声引导下压迫及注射治疗。结果本组22例假性动脉瘤彩色多普勒超声诊断与临床符合率100%（22/22），18例经超声引导下压迫治疗后瘤腔闭合，3例经瘤腔内注射凝血酶治疗取得满意疗效，总治愈率95%（21/22），1例行外科手术治疗。结论彩色多普勒超声是医源性假性动脉瘤首选的诊断及治疗方法。

Clinical applications of color Doppler ultrasound for the diagnosis of iatrogenic femoral artery pseudoa-neurysm

Objective To discuss the value of color Doppler ultrasound examination in the diagnosis and treat-ment of iatrogenic femoral artery pseudoaneurysm. Methods To analyze and conclude the ultrasonograms of 22 pa-tients who were detected with pulsatile mass under two-dimension ultrasonography, color Doppler and pulsed wave Doppler ultrasonic examinations after percutaneous femoral artery puncture operations and ultrasound-guided com-pression and injection treatment. Results The clinical coincident rate of the color Doppler ultrasound examination results of the 22 cases of pseudoaneurysm is 100% （22/22）. Of the 22 patients, 18 patients′ tumor cavities have been closed with ultrasound-guided compression treatment, 3 patients were proved to be cured with satisfactory therapeutic effect after the treatment of injecting thrombin into their tumor cavities and the rest 1 patient was treated with surgical operation; the general cure rate is 95%. Conclusion Color Doppler ultrasound examination is the priority method in the diagnosis and treatment of the iatrogenic femoral artery pseudoaneurysm cases.