彩色多普勒对医源性假性动脉瘤的诊断及引导压迫治疗价值

The value of color doppler flow imaging diagnosis and guided compression repair of iatrogenic femoral artery pseudoaneurysm

目的探讨彩色多普勒超声对医源性假性动脉瘤的诊断价值及在其引导下压迫治疗的方法及疗效。方法35例动脉穿刺术后穿刺部位发现肿块,并经彩色多普勒超声确诊为假性动脉瘤,随后在超声引导下压迫治疗。结果35例假性动脉瘤中31例在超声引导下压迫20～60min,修复成功;4例压迫40min,仍可见分流,放弃治疗。治疗过程中未出现并发症。结论彩色多普勒是医源性假性动脉瘤诊断准确实用的方法;超声引导下压迫修复假性动脉瘤操作简便、安全高效,是治疗方法的首选。

Objective To investigate the efficacy of color doppler flow imaging（CDFI） diagnosis and the method of ul-trasound guided compression repair in iatrogenic femoral artery pseudoaneurysm.Methods Haematoma was noted in the puncture position after artery puncture in 35 patients,iatrogenic femoral artery pseudoaneurysm was diagnosed by CDFI in those patients and guided compression repair.Results 31 patients with iatrogenic femoral artery pseudoaneurysm were cured by compression of 20～60 minutes.The treatment failed in 4 cases showing femoral artery pseudoaneurysm color flow after 40 min-utes.None of them had any postoperative complication.Conclusion The diagnosis of iatrogenic femoral artery pseudoaneurysm by CDFI is accurate.The method of ultrasound guided compression repair is simple,safety,effective,should be the first choise of treatment.