彩色多普勒超声引导应用于介入性手术后股动脉假性动脉瘤临床诊治的研究

目的 探讨彩色多普勒超声引导在介入性手术后股动脉假性动脉瘤诊治中的应用价值.方法 选择2009年2月至2011年2月诊治的介入性手术后股动脉假性动脉瘤患者52例,根据随机数字表法分为观察组和对照组,每组26例.观察组患者行超声引导下凝血酶注射治疗,对照组患者行超声引导下压迫的方法,比较两组患者治疗的操作时间、下肢制动时间、使用镇静药物情况及治疗效果.结果 观察组治疗有效率为92.31％(24/26),对照组为69.23％(18/26),观察组操作时间及下肢制动时间分别为(28.65±6.84) min和(2.54±0.45)h,均明显短于对照组[分别为(69.84±13.63) min和(18.54±2.87)h],观察组使用镇静药物率(23.08％,6/26)明显低于对照组(53.85％,14/26),差异均有统计学意义(P＜0.05).结论 彩色多普勒超声引导应用于介入性手术后股动脉假性动脉瘤疗效显著,具有较高的临床应用价值.

The study of color Doppler ultrasound-guided treatment in the interventional femoral artery pseudoaneurysm

Objective To study the value of color Doppler ultrasound-guided treatment in the interventional femoral artery pseudoaneurysm.Methods Fifty-two patients with interventional femoral artery pseudoaneurysm who treated from February 2009 to February 2011 were chosen,they were divided into two groups by random digits table with 26 cases each,the patients in the observation group underwent ultrasoundguided thrombin injection treatment,the patients in the control group underwent ultrasound-guided compression method.The operation time,lower limb braking time,used of sedative drugs and the effective rate were compared.Results The effective rate in the observation group and the control group were 92.31％ (24/26) and 69.23％ (18/26) respectively,there was significant difference between the two groups (P ＜ 0.05).The operation time and lower limb braking time in the observation group were (28.65 + 6.84) min and (2.54 ±0.45) h,siguificantly lower than those in the control group [(69.84 ± 13.63) min and (18.54 ±2.87) h],there were statistical differences between the two groups (P ＜ 0.05 ).The proportion of patients with sedation in the observation group (23.08％,6/26) was lower than that in the control group (53.85％,14/26),there was statistical difference between the two groups (P ＜ 0.05).Conclusion Color Doppler ultrasound-guided treatment is very effective in the treatment of interventional femoral artery pseudoaneurysm,it has higher clinical value.