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[肝动脉创伤后假性动脉瘤。双功超声诊断及自发性血栓形成的随访]

[A posttraumatic pseudoaneurysm of the hepatic artery. Duplex sonographic diagnosis and follow-up in spontaneous thrombosis].

作者信息

Mallek R, Mostbeck G, Gebauer A, Korn M, Speiser W, Tscholakoff D

机构信息

Röntgenstation, I. Medizinische Universitätsklinik, Ludwig Boltzmann-Institut für radiologisch-physikalische Tumordiagnostik, Wien.

出版信息

Radiologe. 1990 Oct;30(10):484-8.

PMID:2255755
Abstract

Guided percutaneous biopsy represents a standard procedure in establishing specific diagnosis of focal liver lesions. We report a case of left hepatic artery pseudoaneurysm diagnosed by means of Duplex Doppler sonography (DS) immediately before percutaneous biopsy should be performed. Selective hepatic artery embolization was planned, but spontaneous thrombosis of the pseudoaneurysm was documented by DS and angiography, respectively. DS is able to identify the vascular nature of a lesion and is helpful to avoid puncture of an aneurysm.

摘要

在对肝脏局灶性病变进行明确诊断时,超声引导下经皮穿刺活检是一种标准的检查方法。我们报告了一例在即将进行经皮穿刺活检前,通过双功多普勒超声(DS)诊断出左肝动脉假性动脉瘤的病例。原本计划进行选择性肝动脉栓塞,但DS和血管造影分别证实假性动脉瘤已自发血栓形成。DS能够识别病变的血管性质,有助于避免穿刺动脉瘤。

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