摘要
目的探讨脑血管造影术及动脉支架置入术后股动脉假性动脉瘤发生率、发生原因和治疗效果。方法分析192例脑血管造影术及支架置入术后发生股动脉假性动脉瘤患者临床资料和治疗情况。结果共有15例患者发生股动脉假性动脉瘤,发生率7.8%,其中14例为动脉支架置入术患者;8例患者过早剧烈活动;发生股动脉假性动脉瘤患者平均年龄显著高于无假性动脉瘤形成者;9例患者伴原发性高血压。12例患者经手指局部压迫治愈,3例在超声引导下瘤腔凝血酶注射治愈。结论术后抗凝、过早活动、高龄、高血压是股动脉假性动脉瘤产生的危险因素,局部压迫疗法和超声引导下瘤腔凝血酶注射是治疗假性动脉瘤的有效措施。
Objective To determine incidence,cause and treatment of femoral pseudoaneurysms post cerebral vascular angiography and interventional treatment. Methods Analysis of clinical characteristic and the effects of treatment were done among 15 patients with femoral pseudoaneurysm in 192 patients . Results 15 in 192 patients suffered with femoral pseudoaneurysm,which incidence was 7.8 percent,14 patient suffered with interventional therapy. 8 patients exercising early, patients with femoral pseudoaneurysm were older than patients without femoral pseudoaneurysm. 9 in 15 patients with femoral pseudoaneurysm had hypertension. All patient with femoral pseudoneurysm were well healed, 12 by compression repair(CR), 3 by ultrasound guided thrombin injection (UGTI). Conclusion Anticoagulation,early exercise,aged and hypertension are risk factors of femoral pseudoaneurysm post brain angiography and interventional treatment. CR and UGTI are good methods to treat femoral pseudoaneurysm.
出处
《重庆医学》
CAS
CSCD
2008年第18期2035-2037,共3页
Chongqing medicine
关键词
假性动脉瘤
原因
介入治疗
pseudoaneurysm
cause
interventional therapy
作者简介
通讯作者,电话:(023)68757841;E-mail:lijingcheng11@yahoo.com.cn。