首都医科大学学报 ›› 2013, Vol. 34 ›› Issue (4): 619-622.doi: 10.3969/j.issn.1006-7795.2013.04.028

• 临床研究 • 上一篇    下一篇

球囊扩张治疗自体动静脉瘘管腔狭窄

罗涛, 崔世军, 陈兵, 吴静林, 付文静, 张佩, 贾强   

  1. 首都医科大学宣武医院血管外科, 北京 100053
  • 收稿日期:2013-05-21 出版日期:2013-08-21 发布日期:2013-07-20

Treatment of stenosis in hemodialysis arteriovenous fistula by percutaneous transluminal angioplasty

LUO Tao, CUI Shijun, CHEN Bing, WU Jinglin, FU Wenjing, ZHANG Pei, JIA Qiang   

  1. Department of Vascular Surgery, Xuanwu Hospital of Capital Medical University, Beijing 100053, China
  • Received:2013-05-21 Online:2013-08-21 Published:2013-07-20

摘要:

目的 观察球囊扩张治疗血液透析患者上肢动静脉瘘管腔狭窄的安全性和有效性。方法 回顾性分析2011年1月至2012年12月首都医科大学宣武医院患者资料,入组31例,采用球囊扩张救治因管腔狭窄而功能不良的自体动静脉瘘,术后对患者进行随访9(3~20)个月,观察球囊扩张术的合并症、技术成功率、临床成功率和1年通畅率。结果 31例患者共有42处狭窄,其中动脉段狭窄5处,在吻合口附近狭窄23处,静脉段狭窄14处,穿刺部位血肿2例,球囊扩张治疗的技术成功率为90.3%(28/31),临床成功率96.8%(30/31),3、6、12个月的累计通畅率分别为86.7%、68.1%和41.3%。结论 球囊扩张是治疗血液透析患者自体动静脉瘘功能不良的有效手段。

关键词: 球囊扩张, 血液透析, 自体动静脉瘘

Abstract:

Objective To investigate the effect of percutaneous transluminal angioplasty(PTA) on autogenous arteriovenous fistula malfunction in hemodialysis patients. Methods A retrospective study was conducted in patients whose arteriovenous fistulas(AVFs) were salvaged by PTA in our hospital. Results Totally thirty-one patients with 42 stenoses were treated with PTA. Mean follow-up was 9(3~20) months. Technical success rate was 90.3%(28/31). Clinical success rate was 96.8%(30/31), and one year primary patency rate was 41.3%. Conclusion PTA successfully improves the fistula patency, and is an effective therapeutic modality for the treatment of AVF malfunction in hemodialysis patients.

Key words: percutaneous transluminal angioplasty, hemodialysis, autogenous arteriovenous fistula

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