| 吕游,蒋瑞辉,种甲,施海峰,相仕涛.B超引导下股静脉穿刺技术在心脏电生理手术中的应用价值[J].中国临床保健杂志,2023,26(4):528-530. |
| B超引导下股静脉穿刺技术在心脏电生理手术中的应用价值 |
| The application of real-time ultrasound-guided femoral vein puncture in cardiac electrophysiological procedures |
| 投稿时间：2023-04-02 |
| DOI：10.3969/J.issn.1672-6790.2023.04.021 |
| 中文关键词: 射频消融术 电生理学技术,心脏 超声检查,介入性 股静脉 |
| 英文关键词: Radiofrequency ablation Electrophysiologic techniques,cardiac Ultrasonography,interventional Femoral vein 〖FL |
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| 中文摘要: |
| 目的 探讨B超引导下股静脉穿刺在心脏电生理手术中的应用价值。方法 回顾性分析北京医院2018年8月至2020年8月期间行心房颤动射频消融手术患者194例。其中94例应用实时超声引导下股静脉穿刺方法,定义为超声组；100例应用解剖定位股静脉穿刺法,定义为对照组。结果 超声组较对照组的每次穿刺时间[(8.1±2.6)min比(4.6±1.4)min,P<0.05]更长,差异有统计学意义。超声组误穿动脉总次数3次,对照组误穿刺动脉总数11次(P<0.05)。2种方法的穿刺成功率(97.9%比91.0%,P<0.05),差异有统计学意义。超声组无假性动脉瘤及动静脉瘘发生,对照组发生假性动脉瘤和动静脉瘘各1例,但是差异无统计学意义(P>0.05)。结论 超声引导下股静脉穿刺术可以为心脏电生理手术提供更安全的保障,减少组织血肿的发生风险。 |
| 英文摘要: |
| Objective To evaluate the application value of real-time ultrasound-guided femoral vein puncture in cardiac electrophysiological procedures.Methods One hundred and ninety-four patients undergoing atrial fibrillation radiofrequency ablation in Beijing Hospital from August 2018 to August 2020 were analyzed retrospectively,94 patients who used real-time ultrasound-guided femoral vein puncture(ultrasound group) and 100 patients who used anatomy-guided femoral vein puncture(control group).Results The puncture time of ultrasound group was longer than that of control group [(8.1±2.6)min vs.(4.6±1.4)min,P<0.05].The ultrasound group had a total of 3 false arterial punctures,while the control group had a total of 11 false arterial punctures (P<0.05).There was significant difference in the success rate of puncture between the two groups(97.9% vs.91.0%,P<0.05).There was no pseudoaneurysm and arteriovenous fistula in the ultrasound group,one case each in control group,but there was no significant difference between the two groups (P>0.05).Conclusions Ultrasound guided femoral vein puncture can provide more security for cardiac electrophysiology and reduce the risk of tissue hematoma. |
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