| 徐佳波,刘旻,王伟,徐骏,余康敏.超声引导下腔内血管成形术治疗动静脉内瘘狭窄早期疗效评估[J].中国介入影像与治疗学,2019,16(11):653-656 |
| 超声引导下腔内血管成形术治疗动静脉内瘘狭窄早期疗效评估 |
| Evaluation of early efficacy of ultrasound-guided percutaneous transluminal angioplasty in treatment of arteriovenous fistula stenosis |
| 投稿时间：2019-05-05 修订日期：2019-09-03 |
| DOI：10.13929/j.1672-8475.201905007 |
| 中文关键词: 动静脉瘘 狭窄 血管成形术 超声检查,介入性 |
| 英文关键词:arteriovenous fistula stenosis angioplasty ultrasonography, interventional |
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| 中文摘要: |
| 目的 探讨超声引导下腔内血管成形术在治疗血液透析动静脉内瘘（AVF）狭窄的早期疗效。方法 回顾性分析接受超声引导下经皮腔内血管成形术（PTA）治疗的24例前臂AVF狭窄的透析患者的临床资料，比较术前及术后即刻狭窄处内径，对通畅率采用Kaplan-Meier生存分析。结果 24例患者均获得技术成功，成功率为100%（24/24）。无穿刺部位假性动脉瘤及皮下血肿等并发症发生，除1例术后AVF血栓形成，围术期无患者死亡。术后随访3、6、9、12个月的初级通畅率分别为87.50%（21/24）、83.33%（20/24）、79.17%（19/24）、58.33%（14/24）。结论 超声引导下PTA治疗AVF狭窄性病变微创、安全，是AVF狭窄性病变的合理治疗方法，近期效果明显。 |
| 英文摘要: |
| Objective To evaluate the efficacy of ultrasound-guided percutaneous transluminal angioplasty (PTA) in the treatment of arteriovenous fistula (AVF) stenosis for hemodialysis. Methods A retrospective analysis of the clinical data of 24 dialysis patients with stenosis of forearm AVF treated with ultrasound-guided PTA was performed. Preoperative and postoperative diameters of stenosis were compared. Kaplan-Meier survival analysis was used to evaluate patency rate. Results All the operations of 24 patients achieved technical success with a success rate of 100%(24/24). No patient died during the perioperative period, no complications such as pseudoaneurysm at the puncture site and subcutaneous hematoma occurred, except for 1 case of thrombosis. The primary patency rate was 87.50%(21/24), 83.33%(20/24), 79.17%(19/24), 58.33%(14/24) at 3, 6, 9 and 12 months, respectively. Conclusion Ultrasound-guided PTA is a safe and minimally invasive treatment for AVF stenosis with a good early result. |
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