血管缝合器在胸腹部出血性疾病介入治疗后穿刺点缝合中的应用

The Application of Vascular Suturing Device in Suturing the Puncture Point after

目的探讨血管缝合器在胸腹部出血性疾病介入治疗后穿刺点缝合中的应用价值。方法回顾性分析2017-2022年医院收治的采用经股动脉介入治疗的65例胸腹部出血性疾病患者的临床资料。其中,采用血管缝合器缝合股动脉穿刺点的41例作为试验组,采用人工加压包扎止血的24例作为对照组。比较两组止血成功率、止血时间、下肢制动时间、术后并发症(皮下血肿、假性动脉瘤、迷走神经反射、明显出血)发生率,以及两组后续治疗所受影响(延迟治疗、复杂化治疗)。结果两组止血成功率比较,差异无统计学意义(P>0.05)。试验组止血时间、下肢制动时间均短于对照组,术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。试验组后续治疗未受影响,而对照组后续专科治疗出现不同程度延迟,且专科治疗操作难度增加。结论胸腹部出血性疾病患者存在凝血异常、后续治疗多、围手术期管理复杂等特点。采用血管缝合器缝合股动脉穿刺点,可有效止血并降低并发症发生风险及后续治疗难度,有利于围手术期管理。

Objective To explore the application value of vascular suturing device in puncture point suturing after interventional treatment of thoracic and abdominal hemorrhagic diseases.Methods With the retrospective analysis of the clinical data of 65 patients with thoracic and abdominal hemorrhagic diseases treated by femoral artery intervention in hospitals from 2017 to 2022,and 41 cases of using vascular suturing device to suture the femoral artery puncture point as the experimental group,and 24 cases of using artificial compression bandaging for hemostasis as the control group,the success rate of hemostasis,hemostasis time,lower limb braking time,incidence of postoperative complications(subcutaneous hematoma,pseudoaneurysm,vagus reflex,obvious bleeding),and the impact of subsequent treatment(delayed treatment,complex treatment)were compared between the two groups.Results There was no statistically significant difference in the success rate of hemostasis between the two groups(P>0.05).The hemostasis time and lower limb braking time of the experimental group were shorter than those of the control group,and the incidence of postoperative complications was lower than that of the control group,with statistical significance(P<0.05).The follow-up treatment of the experimental group was not affected,while the control group delayed the follow-up specialized treatment to varying degrees and increased the difficulty of specialized treatment procedures.Conclusion With the characteristics of abnormal coagulation,frequent follow-up treatment,and complex perioperative management in patients with thoracic and abdominal bleeding diseases,using a vascular suturing device to suture the femoral artery puncture point can effectively stop bleeding and reduce the risk of complications and subsequent treatment difficulty,which is conducive to perioperative management.