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目的:评价超声引导下徒手压迫法治疗心血管介入术后股动脉假性动脉瘤(PSA)的疗效。方法:对3060例介入术后发生股动脉PSA的41例患者采取改良的超声引导下徒手压迫法,压迫30~150min不等,观察PSA闭合情况。结果:41例患者成功闭合37例,总成功率为90·2%,均无复发。1次压迫成功闭合25例,2次压迫成功闭合9例,3次以上压迫成功3例;失败4例,最终3例转外科行PSA修补术,1例拒绝再手术出院随访。结论:改良的超声引导下徒手压迫法治疗介入术后PSA安全可靠、疗效高且容易掌握,可以作为治疗大部分PSA的首选方法。
OBJECTIVE: To evaluate the efficacy of ultrasound-guided free hand compression in treatment of femoral artery pseudoaneurysm (PSA) after cardiovascular intervention. Methods: Thirty-one patients (41 cases) with femoral artery PSA after interventional therapy were treated with modified ultrasound-guided unilateral compression. The pressure ranged from 30 to 150 minutes. The closure of PSA was observed. Results: 41 patients successfully closed in 37 cases, the total success rate of 90.2%, no recurrence. One compression successfully closed in 25 cases, two compression successfully closed in 9 cases, 3 times more than 3 cases of successful compression; failure in 4 cases, the final 3 cases of surgical PSA surgery, 1 case refused to re-discharge after surgery. CONCLUSION: The modified ultrasound-guided free hand compression is a safe, reliable, effective and easy-to-use method for the treatment of most PSA.