超声引导下股静脉穿刺术在心电生理手术中的应用

Application of real-time ultrasound-guided femoral vein puncture in cardiac electrophysiological procedures

目的探索实时超声引导下股静脉穿刺在心电生理手术中的应用.方法回顾性分析中国医学科学院阜外医院深圳医院行心电生理手术的患者62例.选择2019年9月至2019年11月31例应用实时超声引导下股静脉穿刺方法进行心电生理手术的患者作为试验组(超声组)及2019年12月至2020年4月31例应用解剖定位股静脉穿刺法进行心电生理手术的患者作为对照组.结果超声组与对照组患者血管并发症发生率差异无统计学意义(0%比6.5%,P=0.492).与对照组相比,超声组误穿动脉误次数(平均每次置管0.01±0.11比0.23±0.75,P=0.007)更低,平均每次穿刺时间长于对照组[(29.68±31.98)s比(14.09±12.03)s,P<0.05].结论超声引导下股静脉穿刺术是安全可行的股静脉替代穿刺方法.

Objective To evaluate the feasibility of the application of real-time ultrasound-guided femoral vein puncture in cardiac electrophysiological procedures.Methods A retrospective analysis of 62 patients undergoing cardiac clectrophysiological procedures in Fuwai Hospital Chinese Academy of Medical Sciences,Shenzhen.Enrolled 31 patients who used real-time ultrasound-guided femoral vein puncture for cardiac electrophysiological surgery from September 2019 to November 2019(ultrasound group)and 31 patients who applied anatomy-guided femoral vein puncture for cardiac electrophysiological surgery from December 2019 to April 2020(control group).Results Vascular complication rates did not differ between two study groups(6.5%vs.0%,P=0.492).Compared with control group,ultrasound group had fewer inadvertent arterial puncture(per catheterization,0.01±0.11 vs.0.23+0.75.P=0.007).while puncture time was longer[(29.68±31.98)s vs.(14.09±12.03)s,P<0.05].Conclusion Ultrasound-guided puncture of femoral veins is associated with fewer inadvertent arterial puncture.