超声引导下非手术治疗假性动脉瘤的疗效及其影响因素分析
Analysis of therapeutic effect and influencing factors of non-surgical treatment for pseudoaneurysm under ultrasound guidance
陈黄卓楠 1王国运 2武志慧 3刘核秀 1毕梦露 3曲妮娜 4曹小丽4
作者信息
- 1. 261035 山东省潍坊市,潍坊医学院医学影像学院
- 2. 青岛大学医学部
- 3. 滨州医学院医学影像学院
- 4. 青岛大学附属烟台毓璜顶医院超声科
- 折叠
摘要
目的 探讨超声引导下非手术治疗假性动脉瘤(PSA)的疗效,并分析其相关影响因素.方法 选取行超声引导下假性动脉瘤压迫(UGCR)治疗的PSA患者98例,根据治疗是否成功分为UGCR成功组和UGCR失败组,其中UGCR失败组改行超声引导注射凝血酶(UGTI)治疗,根据治疗次数分为UGTI一次治疗成功组和UGTI多次治疗成功组.比较UGCR成功组与UGCR失败组、UGTI一次治疗成功组与UGTI多次治疗成功组一般资料,以及瘤体体积、瘤颈流速及动脉穿刺至治疗时间等超声资料的差异.分析UGCR、UGTI一次治疗成功的独立影响因素.结果 98例PSA患者中,UGCR成功组47例,UGCR失败组51例;UGCR失败组中,UGTI一次治疗成功组43例,UGTI多次治疗成功组8例.单因素分析显示,UGCR成功组瘤体体积、瘤颈流速及动脉穿刺至治疗时间均小于UGCR失败组,差异均有统计学意义(均P<0.05);两组一般资料比较差异均无统计学意义;多因素Logistic分析显示,瘤颈流速和动脉穿刺至治疗时间均为UGCR一次治疗成功的独立影响因素(OR=1.015、1.378,均P<0.05).单因素分析显示,UGTI一次治疗成功组瘤颈流速和动脉穿刺至治疗时间均小于UGTI多次治疗成功组,差异均有统计学意义(均P<0.05);两组一般资料比较差异均无统计学意义;多因素Logistic分析结果显示,瘤颈流速为UGTI一次治疗成功的独立影响因素(OR=1.014,P<0.05).结论 瘤颈流速和动脉穿刺至治疗时间均为UGCR治疗PSA一次成功的独立影响因素,瘤颈流速为UGTI治疗PSA一次成功的独立影响因素.关注瘤颈流速及动脉穿刺至治疗时间有助于提高PSA非手术治疗的一次成功率.
Abstract
Objective To investigate the therapeutic effect of non-surgical treatment of pseudoaneurysm(PSA)under ultrasound guidance,and to analyze its influencing factors.Methods A total of 98 patients with PSA who received ultrasound-guided compression repair(UGCR)treatment in our hospital were selected,and they were divided into successful UGCR group and failed UGCR group according to the treatment outcome.The failed UGCR group was received ultrasound guided thrombin injection(UGTI)treatment,and they were divided into single UGTI treatment group and multiple UGTI treatment group according to the treatment frequency.The differences in general data,volume,neck inflow velocity and the time from arterial puncture to treatment between the successful UGCR group and the failed UGCR group,as well as between the single UGTI treatment group and the multiple UGTI treatment group,were compared.The influencing factors affecting the success of a single UGCR and UGTI were analyzed.Results The successful UGCR group consisted of 47 out of 98 PSA patients,while the failed UGCR group included 51 patients.In the failed UGCR group,there were 43 patients treated with single UGTI(single UGTI treatment group)and 8 patients treated with multiple UGTI(multiple UGTI treatment group).The univariate analysis showed that the volume,neck inflow velocity and the time from arterial puncture to treatment in the successful UGCR group were less than those in the failed UGCR group,and the differences were statistically significant(all P<0.05).There was no significant difference in the general data between the two groups.The multivariate Logistic analysis showed that the neck inflow velocity and the time from arterial puncture to treatment were independent influencing factors for predicting single UGCR therapeutic effect(OR= 1.015,1.378,both P<0.05).The univariate analysis showed that the neck inflow velocity and the time from arterial puncture to treatment in single UGTI treatment group were less than those in the multiple UGTI treatment group,and the differences were statistically significant(both P<0.05).There was no significant difference in the general data between the two groups.The multivariate Logistic analysis showed that the neck inflow velocity was an independent influencing factors for predicting the success of UGTI at single treatment(OR=1.014,P<0.05).Conclusion The neck inflow velocity and the time from arterial puncture to treatment are independent influencing factors for predicting the success of single UGCR for the treatment of PSA.The neck inflow velocity is an independent influencing factors for predicting the success of single UGTI for the treatment of PSA.The consideration of neck inflow velocity and the time from arterial puncture to treatment can contribute to improving the single success rate of non-surgical PSA treatment.
关键词
超声引导/假性动脉瘤/介入/凝血酶Key words
Ultrasound guidance/Pseudoaneurysm/Intervention/Thrombin引用本文复制引用
基金项目
山东省自然科学基金面上项目(ZR2021MH398)
山东省助力攀登医疗科研能力提升项目()
山东大学横向项目(1520020011)
潍坊医学院研究生科研创新基金()
出版年
2024
NETL
NSTL
维普
万方数据