[1]曹莉明,王 杰,施海彬,等.股动脉穿刺定位方法的优化研究 [J].介入放射学杂志,2013,(05):409-412.
　CAO Li? ming,WANG Jie,SHI Hai? bin,et al. Optimization of the location technique for puncturing site of common femoral artery[J].journal interventional radiology,2013,(05):409-412.
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股动脉穿刺定位方法的优化研究 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年05期
页码:
409-412
栏目:
临床研究
出版日期:
2013-05-22

文章信息/Info

Title:
 Optimization of the location technique for puncturing site of common femoral artery
作者:
 曹莉明;  王 杰;  施海彬;  周卫忠;  夏金国;  周春高
Author(s):
  CAO Li?蛳 ming;  WANG Jie;  SHI Hai?蛳 bin;  ZHOU Wei?蛳 zhong;  XIA Jin?蛳 guo;  ZHOU Chun?蛳 gao.
  Department of Interventional Radiology， the First Affiliated Hospital of Nanjing Medical University， Nanjing 210029， China
关键词:
 ; 【关键词】 股动脉;  穿刺点;  优化;  股骨头
文献标志码:
A
摘要:
 【摘要】 目的 通过分析股动脉与股骨头关系确定股动脉穿刺理想位置。方法 对114例行介入诊疗患者经皮股动脉穿刺术后行穿刺侧髂动脉造影，分别采用3种不同股动脉穿刺定位分区方法对患者资料进行测量、比较和分析，并作进一步统计处理，以确定三者间差异有无统计学意义。新建议法：将髂前上棘与耻骨联合连线作为腹股沟韧带的虚拟体内标志，股动脉分叉处设为穿刺下限点。以股骨头上、下缘及中点平面为参照，由上向下将股骨头均分为A、B、C、D 4个区。对照法1是将股骨头从上到下分为A、B、C、D 4个区。对照法2是将股骨头分为5区。结果 114例患者3种不同分区方法穿刺下限点位置如下：新建议法A、B、C、D 4区分别0%、1.75%、7.89%、90.35%。对照法1分别为0%、2.63%、85.09%和12.28%。对照法2分别为0%、0.88%、1.75%、85.96%和11.4%。统计分析显示，差异有统计学意义（P < 0.05）。结论 新建议股骨头分区方法能够直观地反映股动脉分叉与股骨头及腹股沟韧带间关系，分析发现血管穿刺点位于新建议法股骨A ~ C平面间的股动脉段穿刺成功率较高，且安全、可靠。

参考文献/References:

 ［1］ 刘百球， 聂绍平， 贾长琪， 等． 股动脉分叉解剖位置的造影评价［J］． 中国介入心脏病学杂志， 2010， 18： 303 ?蛳 305．
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［11］ 王 杰， 冯耀良， 施海彬， 等． 介入治疗发生致命性出血的原因及防范措施［J］． 临床误诊误治， 2007， 20： 72 ?蛳 74．
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（收稿日期：２０１2-11-０6） 
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