摘要
目的：分析股动脉穿刺术后常见并发症血肿、假性动脉瘤、动静脉瘘的超声特征及其临床价值。方法：彩色多普勒超声观察46例股动脉穿刺术后出现肿块及血管杂音者，分析肿块的内部回声特征及血流状态，肿块与股动脉的关系，股动脉与周围静脉之间的关系。结果：46例中21例单纯血肿，肿块内无流动性血流，临床未给予特殊处理；16例假性动脉瘤，肿块内有流动性血流并通过股动脉前壁的破口与股动脉相通，15例局部加压闭合动脉瘤，1例手术修复动脉瘤；9例动静脉瘘，在股动、静脉之间见血流交通并在瘘口静脉端探及双期连续性血流频谱，7例局部加压闭合瘘口，2例手术修复瘘口。结论：彩色多普勒超声对股动脉穿刺术后并发症的诊断简便易行、准确性高，已成为首选影像学检查方法，为临床选择治疗方案提供准确的信息。
Abstract
Objective: To analyze the ultrasonic characteristic and its clinical application in the diagnosis of common complications including hematoma, false aneurysm and arteriovenous fistula following puncture of femoral artery. Methods: Forty-six cases with vascular murmur and/or a palpable mass in puncture site were observed by color Doppler ultrasonography. The echo characteristic and its flow state in the mass, the relation between the mass and the femoral artery were analyzed, the condition about the femoral artery and veins were also evaluated. Results: In the 46 cases, 21 cases were hematoma, no flow was found in the mass without clinical treatment; 16 cases were false aneurysm, the blood flow in the mass was coming from the femoral artery and the tear in femoral wall was found, 15 cases were pressed to close the aneurysm and 1 case was operated to repair the aneurysm; 9 cases were arteriovenous fistula, the fistula between the femoral artery and vein was detected, the shunt flow from the femoral artery to vein was detected during systole and diastole, 7 cases were pressed to close the fistula and 2 cases were operated to repair fistula. Conclusions: Color Doppler ultrasonography is a simple and accurate method for common complications following puncture of femoral artery, now it has been the preferred examination and offers an accurate information for clinical treatment.
关键词
股动脉 /
穿刺术 /
超声检查 /
多普勒 /
彩色
Key words
femoral artery /
punctures /
ultrasonography /
Doppler /
color
李冬蓓;黄云洲;任书堂;龙 进;王 勇;王翠华;周健华;孙佳英.
股动脉穿刺术后常见并发症的彩色多普勒超声诊断及其临床价值[J]. 中国临床医学影像杂志. 2007, 18(5): 327-329
LI Dong-bei;HUANG Yun-zhou;REN Shu-tang;LONG Jin;WANG Yong;WANG Cui-hua;ZHOU Jian-hua;SUN Jia-ying.
Color Doppler ultrasonography in the diagnosis of common complications following puncture of femoral artery[J]. Journal of China Clinic Medical Imaging. 2007, 18(5): 327-329
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