血管内介入改良Seldinger技术股动脉指间定位法的研究与临床应用

The Clinical Research and Application of Femoral Artery Inter-finger Location for Intravascular Modified Seldinger's Technique

目的 为提高Seldinger股动脉穿刺技术的成功率 ,降低并发症 ,使得血管内介入放射新技术在临床顺利开展。方法 在改良Seldinger技术的基础上 ,将其改进为股动脉指间定位法 ,即术者的左手食、中指平行于股动脉 ,将股动脉置于二指间中 ,扪其搏动定位。结果 改良Seldinger技术股动脉指间定位法一针穿刺成功率为 72 % ,明显高于传统的定位法 (2 3% )。结论 改良Seldinger技术股动脉指间定位法的应用 ,使一针穿刺成功率显著提高 ,血肿并发症降低 。

Objective To improve success rate for femoral artery puncture with intravascular modified Seldinger's technique, and decrease its complications. Methods On base of modified Seldinger's technique, we devised a method of inter finger location for femoral puncture, ie, the operator put his indicator and middle finger close and parallel to femeoral artery, felt artery pulsation and located it. Results The success and complication rate for inter finger locations and traditional locations are 72%,23%, respectively. Conclusion Inter finger location method based on modified Seldinger's technique can raise success rate for femoral puncture, decrease complication rate, such as hematomas, henefiting developement of intravascular interventional diagnosis and treatment. [