彩色多普勒血流显像对老年股动脉假性动脉瘤的诊断及治疗价值

目的 探讨彩色多普勒血流显像(CDFI)对老年经皮穿刺腔内冠状动脉成形(PTCA)术后并发股动脉假性动脉瘤的诊断及治疗价值.方法 采用CDFI诊断26例老年PTCA术后并发股动脉假性动脉瘤,并在超声引导下探头垂直加压假性动脉瘤通道或破裂口直至通道内无血流通过,如压迫失败,再在超声引导下经皮瘤腔内注射巴曲酶.结果 26例老年PTCA术后并发股动脉假性动脉瘤的CDFI诊断明确,与临床诊断符合率100%,CDFI引导下22例经单纯压迫治愈,3例经瘤腔内注射巴曲酶加压治愈,1例治疗失败而行外科手术修补.结论 CDFI对老年PICA术后并发股动脉假性动脉瘤的诊断准确、治疗有效,可作为诊断和治疗老年PTCA术后并发股动脉假性动脉瘤的首选方法.

Diagnostic and therapeutic value of color Doppler flow imaging to elderly femoral arterial pseudo aneurysms

Objective To evaluate the value of color Doppler flow imaging (CDFI) in the diagnosis of elderly femoral arterial pseudo aneurysm and treating with ultrasound-guided compression after percutaneous transluminal coronary angioplasty (PTCA). Methods Twenty-six elderly patients who were found a mass and/or vascular murmur in the puncture region were examined by CDFI, and the results of CDFI were proven by clinic and MRI. All pseudo aneurysms were repaired by CDFI guidance to compress simply and/or injecting directly batroxobin into the pseudo aneurysm lumen combined with compression.Results Pseudo aneurysms were diagnosed definitely by CDFI in 26 cases,and the accuracy rate was 100%. Twenty-two cases were repaired with CDFI guidance to compress simply and percutaneously injection of batroxobin into the pseudo aneurysm lumen combined with compression occurred in 3 cases. One case was cured by surgery after failing to be repaired with CDFI guidance. Conclusions CDFI has an important diagnosis value of pseudo aneurysm after PTCA. The method of CDFI guidance compression and batroxobin injection for repairing pseudo aneurysm is simple, safe and effective.