| 超声引导下假性动脉瘤压迫治疗与凝血酶治疗疗效及影响因素 |
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| 引用本文： | 陈黄卓楠,王国运,武志慧,刘核秀,毕梦露,曲妮娜,曹小丽. 超声引导下假性动脉瘤压迫治疗与凝血酶治疗疗效及影响因素[J]. 临床超声医学杂志, 2024, 26(2) |
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| 作者姓名： | 陈黄卓楠 王国运 武志慧 刘核秀 毕梦露 曲妮娜 曹小丽 |
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| 作者单位： | 山东省潍坊医学院医学影像学院,青岛大学医学部,山东 青岛,滨州医学院医学影像学院,山东 烟台,山东省潍坊医学院医学影像学院,滨州医学院医学影像学院,山东 烟台,山东省烟台市毓璜顶医院,青岛大学附属烟台航璜顶医院超声科,山东 烟台 |
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| 摘 要： | 目的 研究影响超声引导下假性动脉瘤（PSA）压迫治疗与凝血酶治疗疗效的相关影响因素。方法 回顾性分析2018年1月至2022年12月在烟台毓璜顶医院就诊并接受超声引导下假性动脉瘤压迫治疗（UGCR）与超声引导下凝血酶治疗（UGTI）患者临床和超声资料。UGCR组根据治疗是否成功分为成功组和失败组,UGTI组根据治疗次数分为一次治疗组和多次治疗组。采用单因素及多因素分析影响PSA治疗效果的相关因素。结果 单因素分析显示,动脉穿刺至治疗时间（t）的中位数,瘤颈流速>200 cm/s及t >4天在UGCR成功和失败组间差异有统计学意义（P＜0.05）。多因素Logistic分析结果显示,瘤颈流速>200cm/s（OR=1.015,95%CI=1.007-1.023）,t >4天（OR=1.324,95%CI=1.116-1.570）是UGCR治疗失败的独立危险因素（P＜0.05）。 结论 t >4天,瘤颈流速＞200 cm/s是UGCR治疗PSA失败的影响因素。关注瘤颈流速及t有助于预估UGCR疗效,及时行UGTI以提高PSA治疗一次成功率。
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| 关 键 词： | 超声引导 假性动脉瘤 介入 凝血酶 |
| 收稿时间： | 2023-06-14 |
| 修稿时间： | 2023-07-08 |
Clinical Evaluation of Effects and Factors of Ultrasound-guided Compression Repair and Thrombin Injection of Pseudoaneurysm |
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| Chen huangzhuonan,Wang guoyun,Wu zhihui,Liu hexiu,Bi menglu,Qu nina and Cao xiaoli. Clinical Evaluation of Effects and Factors of Ultrasound-guided Compression Repair and Thrombin Injection of Pseudoaneurysm[J]. Journal of Ultrasound in Clinical Medicine, 2024, 26(2) |
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| Authors: | Chen huangzhuonan Wang guoyun Wu zhihui Liu hexiu Bi menglu Qu nina Cao xiaoli |
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| Affiliation: | School of Medical Imaging,Weifang Medical University,Shandong Weifang,,,,,,Department of Ultrasound, Yantai Yuhuangding Hospital of Qingdao University, Shandong Yantai |
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| Abstract: | Objective To investigate the influencing factors associated with the efficacy of pseudoaneurysm (PSA) closure using ultrasound-guided compression repair versus thrombin injection. Methods To retrospectively analyze the clinical and ultrasound data of patients who attended and received ultrasound-guided compression repair (UGCR) and ultrasound-guided thrombin injection ( UGTI) at Yantai Yuhuangding Hospital from January 2018 to December 2022. The UGCR group was divided into successful and unsuccessful groups according to whether the treatment was successful, and the UGTI group was divided into once-treatment and multiple-treatment groups according to the times of treatment. Single-factor and multi-factor analyses were applied to analyze the relevant influencing factors affecting the treatment effect of PSA. Results Univariate analysis showed that the time interval between arterial puncture to treatment (t),neck inflow velocity of PSA >200 cm/s and t >4 days were statistically significant differences between the successful and unsuccessful UGCR groups (P < 0.05). Multifactorial Logistic analysis showed that neck inflow velocity >200 cm/s（OR=1.015,95%CI=1.007-1.023）and t >4 days（OR=1.324,95%CI=1.116-1.570）were independent risk factors for UGCR treatment failure (P<0.05). Conclusion t > 4 days and neck inflow velocity > 200 cm/s are factors influencing the failure of PSA treatment with UGCR. Paying attention to neck inflow velocity and t can help to predict the efficacy of UGCR and to perform UGTI in time to improve the success rate of PSA treatment. |
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| Keywords: | Ultrasound guidance Pseudoaneurysm Intervention Thrombin |
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