| 文勇辉,余康敏,刘旻,王笑薇.颈静脉透析导管置入史对于超声引导下经皮腔内血管成形治疗人工动静脉内瘘狭窄效果的影响[J].中国介入影像与治疗学,2026,23(4):193-197 |
| 颈静脉透析导管置入史对于超声引导下经皮腔内血管成形治疗人工动静脉内瘘狭窄效果的影响 |
| Impact of jugular vein dialysis catheter placement history on therapeutic effect of ultrasound-guided percutaneous transluminal angioplasty for artificial arteriovenous fistula stenosis |
| 投稿时间：2025-07-10 修订日期：2025-12-23 |
| DOI：10.13929/j.issn.1672-8475.2026.04.001 |
| 中文关键词: 动静脉瘘 导管插入术,中心静脉 超声检查,介入性 血管成形术 肾透析 |
| 英文关键词:arteriovenous fistula catheterization,central venous ultrasonography,interventional angioplasty renal dialysis |
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| 中文摘要: |
| 目的 观察颈静脉透析导管置入史对于超声引导下经皮腔内血管成形（UG-PTA）治疗人工动静脉内瘘（AVF）狭窄效果的影响。方法 回顾性分析61例接受UG-PTA的AVF狭窄患者，根据曾否置入颈静脉导管（JVC）分为JVC组（n=27）与非JVC组（n=34）；记录组间UG-PTA技术成功率及临床成功率，对比组间UG-PTA前、后AVF狭窄处内径、肱动脉流量及阻力指数（RI），以及36个月随访期间组间AVF通畅率。结果 UG-PTA技术成功率及临床成功率均为100%（61/61）。2组内UG-PTA后狭窄处内径及肱动脉流量均大于UG-PTA前，而肱动脉RI小于UG-PTA前（P均＜0.001）。组间UG-PTA前肱动脉RI差异有统计学意义（P=0.036）、而狭窄处内径及肱动脉流量差异均无统计学意义（P均＞0.05）；组间UG-PTA后肱动脉流量差异有统计学意义（P=0.005）、而狭窄处内径及肱动脉RI差异均无统计学意义（P均＞0.05）。JVC组UG-PTA后AVF初级通畅率低于非JVC组（χ2=5.585，P=0.018），而次级通畅率与非JVC组差异无统计学意义（χ2=0.745，P=0.388）。结论 颈静脉透析导管置入史对于UG-PTA治疗AVF后AVF流量和初级通畅率均存在不利影响。 |
| 英文摘要: |
| Objective To observe the impact of jugular vein dialysis catheter placement history on therapeutic effect of ultrasound-guided percutaneous transluminal angioplasty （UG-PTA） for artificial arteriovenous fistula （AVF） stenosis. Methods Data of 61 patients with AVF stenosis who underwent UG-PTA were retrospectively analyzed. The patients were divided into jugular vein catheterization （JVC） group （n=27） and non-JVC group according to with or without history of implantation of JVC. The technical success rate and clinical success rate of UG-PTA were recorded. The inner diameter of the narrow part of AVF， brachial artery flow and resistance index （RI） before and after UG-PTA， as well as the patency rate of AVF during 36 months' follow-up were compared between groups. Results The technical success rate and clinical success rate of UG-PTA were both 100% （61/61）. The inner diameters of the narrowed areas and brachial artery flow after UG-PTA in both JVC and non-JVC groups were greater than those before UG-PTA， while brachial artery RI were both lower than those before UG-PTA （all P＜0.001）.Significant difference of brachial artery RI was found （P=0.036）， while no difference of the inner diameter of the narrowed area nor brachial artery flow before UG-PTA was found between groups （both P＞0.05）. After UG-PTA， significant difference of brachial artery flow was found （P=0.005）， but not of the inner diameter of the narrowed area and brachial artery RI between groups （both P＞0.05）. The primary patency rate of AVF in JVC group was lower than that in non-JVC group （χ2=5.585，P=0.018）， while no significant difference of the secondary patency rate was found between groups （χ2=0.745，P=0.388）. Conclusion The jugular vein dialysis catheter placement history had negative impact on AVF flow and primary patency rate after UG-PTA for treating AVF stenosis. |
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