摘要
目的探讨股动脉假性动脉瘤的诊断和治疗方法,为临床诊治股动脉假性动脉瘤提供依据。方法回顾性分析2012年1-5月该院收治的5例股动脉假性动脉瘤患者的临床资料,并检索相关文献,总结股动脉假性动脉瘤的预防、诊断和治疗经验。结果 B超检查显示5例患者腹股沟区均可见低回声或无回声肿块,肿块大小10mm×7mm×5mm^51mm×30mm×28mm,肿块与股动脉间均存在瘘道,楼管长2.1~26.6mm,彩色多普勒检查显示瘘管内血液流速2.5~3.2m/s,2例行造影检查的患者均见造影剂进入血肿内。5例患者均明确诊断为股动脉假性动脉瘤。经治疗5例患者均痊愈出院。结论 B超联合彩色多普勒检查,可实现对股动脉假性动脉瘤的临床诊断,对诊断困难的患者可酌情联合应用血管内造影检查。
Objective To discuss femoral artery pseudoaneurysms diagnosis and treatment, clinical diagnosis and treatment for femoral artery pseudoaneurysms provides the basis. Methods Retrospective analysis of 2012 years 1-5 month of our 5 eases were femoral artery pseudoaneurysms patients for clinical material,and related literature retrieval, summarizes the artery pseudoa- neurysms prevention, diagnosis and treatment of experience. Results B ultrasonic examination display 5 patients groin area are vis- ible low echo or no echo mass, the tumor size lOmm× 7mm × 5mm to 51mm×30mm×28mm, mass and there are between the femoral artery fistula, floor length 2.1 -26.6 ram, color doppler examination showed fistula blood flow within 2.5-3.2m/s, 2 routine of imaging patients were seen in contrast agents into the hematoma. 5 patients are clearly diagnosed as the artery pseudoa- neurysms. By the hospital treatment 5 patients were recovered. Conclusion B super joint color doppler check, can realize the strands of artery pseudoaneurysms clinical diagnosis of patients with diagnosis is difficult can drink the blood vessels combined ap- plication in imaging.
出处
《中外医疗》
2012年第21期14-14,16,共2页
China & Foreign Medical Treatment
关键词
股动脉
假性动脉瘤
诊断
治疗
Artery
Pseudo aneurysm
Diagnosis
Treatment