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目的探讨周围大血管外伤性假性动脉瘤的介入治疗临床效果。方法 88例周围大血管外伤性假性动脉瘤患者。使用随机数字表法将患者随机分为对照组和观察组,各44例。对照组患者采用经血管瘤栓塞治疗,观察组采用带膜支架治疗,治疗结束后,对比两组患者治疗效果及出现并发症情况。结果两组治疗后假性动脉瘤的闭合度均较高,治疗效果较好。治疗结束后,对照组患者并发症发生率为22.73%,观察组患者并发症发生率为6.82%。观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论带膜支架和经血管瘤栓塞治疗周围大血管外伤性假性动脉瘤能取得较为显著的治疗效果,但带膜支架治疗后并发症发生率明显比传统经血管瘤栓塞治疗低,带膜支架治疗具有无创、快捷、出血量少和并发症发生率低等优点,值得临床推广应用。
Objective To investigate the clinical effect of interventional treatment of peripheral large vessel traumatic pseudoaneurysm. Methods 88 cases of peripheral vascular injury in patients with pseudoaneurysm. Patients were randomly divided into control group and observation group using random number table method, 44 cases in each group. Patients in the control group were treated with hemangiomas embolization. Patients in the observation group were treated with stent-graft. After treatment, the therapeutic effect and complications of the two groups were compared. Results The two groups of false aneurysms after treatment are closed higher, the treatment effect is better. After treatment, the incidence of complications in the control group was 22.73%, the incidence of complications in the observation group was 6.82%. The incidence of complications in observation group was lower than that in control group, the difference was statistically significant (P <0.05). Conclusion There is a significant therapeutic effect of stent-graft and hemangiomas embolization in the treatment of peripheral macrovascular traumatic pseudoaneurysm. However, the incidence of complications after stent-graft treatment is significantly lower than that of traditional hemangiomas embolization. The treatment has the advantages of non-invasive, quick, less bleeding and low complication rate, which is worthy of clinical application.