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急诊介入治疗创伤性肢体假性动脉瘤
引用本文:杨明镇,袁莉,曹云亮,蒋国军,赵开飞,利峰.急诊介入治疗创伤性肢体假性动脉瘤[J].遵义医学院学报,2010,33(6).
作者姓名:杨明镇  袁莉  曹云亮  蒋国军  赵开飞  利峰
作者单位:遵义医学院附属医院介入病房,贵州遵义,563000
摘    要:目的评价急诊行超选择性动脉血管造影及载瘤动脉栓塞术对外伤性假性动脉瘤的临床诊治价值。方法 回顾性分析43例创伤性肢体假性动脉瘤患者临床资料,急诊行超选择性动脉造影,明确假性动脉瘤的大小、部位、载瘤动脉直径及破口大小;用弹簧钢圈或弹簧钢圈+明胶海绵颗粒栓塞载瘤动脉,术后观察临床症状,随诊1至6月,通过CT或B超检查是否残存假性动脉瘤。结果 43例假性动脉瘤全部明确诊断,42例一次性栓塞成功,1例通过二次栓塞术后成功;临床症状于术后7~15d改善,随诊术后3~6月无1例复发。结论超选择性动脉造影术+载瘤动脉栓塞治疗肢体假性动脉瘤安全、快捷,可以作为假性动脉瘤急诊诊疗的首选方法。

关 键 词:动脉造影  假性动脉瘤  诊断  治疗

Emergency interventional treatment of the traumatic pseudoaneurysm in extremityies
YANG Ming-zhen,YUAN Li,CAO Yun-liang,JIANG Guo-jun,ZHAO Kai-fei,LI Feng.Emergency interventional treatment of the traumatic pseudoaneurysm in extremityies[J].Acta Academiae Medicine Zunyi,2010,33(6).
Authors:YANG Ming-zhen  YUAN Li  CAO Yun-liang  JIANG Guo-jun  ZHAO Kai-fei  LI Feng
Institution:YANG Ming-zhen; YUAN Li; CAO Yun-liang; JIANG Guo-jun; ZHAO Kai-fei; LI Feng(Ward of intervention; the Affiliated Hospital of Zunyi Medical College; Zunyi Guizhou 563000; China);
Abstract:Objective To assess the value of clinical diagnosis and treatment of the super selective arteriography and parent artery embolization under the emergency conditions for the traumatic Pseudoaneurysms in extremities.Methods 43 cases with traumatic pseudoaneurysms were performed emergent super selective arteriography to exactly know the size、location、diameter of artery with pseudoaneurysms and size of pseudoaneurysms crevasses;Arterys with pseudoaneurysms were embolized with coils or coils and gelfoam particl...
Keywords:arteriography  pseudoaneurysm  diagnosis  treatment  
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