医源性股动脉假性动脉瘤术中持续指压止血法探讨

Method of hemostasis with finger-press in the operation of iatrogenic femoral artery pseudoaneurysms

目的探讨医源性股动脉假性动脉瘤(IFAP)术中持续指压止血法的技术要点。方法回顾性分析25例选择性手术治疗IFAP的病例资料。结果全部病例经手术修补动脉破口治愈,术后并发症4例。术中持续指压10分钟止血与传统动脉解剖控制法在手术时间、术中出血量、切口长度、术后住院时间等参数上均有显著性差异。结论IFAP手术推荐采取小切口显露加局部指压10分钟止血法控制出血,必要时辅以破口下方双线悬吊牵引止血法。

Objective To explore the hemostasis technique by continuance finger-pressing in the operation of iatrogenic femoral artery pseudoaneurysms （IFAP）. Methods retrospective analyzing 25 IFAP cases that undergone selective surgery treatment. Results All the 25 patients were performed femoral artery angiorrhaphy, and there were 4 cases suffered complications. The hemostasis technique group which with 10-minute continuance finger-pressing, were compared with controlled group, has lower parameters in operation time, hemorrhage volume, length of incision, and length of stay after operation（P〈0. 05）. Conclusion The method of hemostasis technique with 10-minute continuance finger-pressing is recommended in IFAP operation. If it comes to the pinches, the method that using double-suture traction under disrupt to hemostasis can be assisted.