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目的提高冠心病介入治疗并发股动脉假性动脉瘤的诊治水平。报告5例股动脉穿刺并发假性动脉瘤诊治经验。男性1例,女性4例。年龄53～72岁,平均63.6岁。病程30分钟～22小时,平均13小时。4例徒手压迫治疗,1例超声引导压迫修复治疗。结果4例徒手压迫治疗者,2例痊愈,2例失败改行手术治疗。1例超声引导压迫修复者痊愈。结论股动脉反复穿刺损伤是形成假性动脉瘤的主要原因。彩色多普勒超声检查为首选诊断方法。假性动脉瘤治疗应根据患者的具体情况而定。
Objective To improve the diagnosis and treatment of femoral artery pseudoaneurysm with interventional therapy of coronary heart disease. Report of 5 cases of femoral artery puncture complicated by false aneurysm diagnosis and treatment experience. 1 males and 4 females. Aged 53 to 72 years old, average 63.6 years old. Course of 30 minutes to 22 hours, an average of 13 hours. 4 cases of unarmed oppression treatment, 1 case of ultrasound-guided compression repair treatment. Results 4 cases of unarmed oppressed treatment, 2 cases recovered, 2 cases failed to divert surgery. One patient underwent ultrasound guided compression and healed. Conclusion Repeated puncture injury of the femoral artery is the main reason for the formation of pseudoaneurysm. Color Doppler ultrasound is the preferred diagnostic method. Pseudoaneurysm treatment should be based on the specific circumstances of patients.