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时间:2020-05-14
《经皮腔内血管成形术在血透患者动静脉内瘘血管狭窄中的应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第45卷第6期温州医科大学学报VO1.45NO.62015年6月JournalofWenzhouMedicalUniversityJun.20l5鞫经皮腔内血管成形术在血透患者动静脉内瘘血管狭窄中的应用郑尘非,孙文学,贾秀芬。,缪克凯。,潘慧君。,刘毅,黄朝兴(温州医科大学附属第一医院,浙江温州325015,1.肾内科;2.放射科;3.介入科)[摘要]目的:探讨经皮腔内血管成形术(PTA)治疗动静脉内瘘(AVF)狭窄的疗效。方法:回顾性分析3o例上肢AVF狭窄患者的临床资料,其中男16例,女14例,平均年龄(64.8土
2、13.2)岁;瘘管平均使用时间(16.5土13.8)月,患者平均透析时间(31.5土30.2)月。所有患者在数字减影血管造影(DSA)下行PTA,术后每3个月经64层螺旋CT-~-管造影对AVF功能进行评估。结果:本组手术成功率9o.0%,其中17例自体AVF和lO例人工血管动静脉内瘘(AVG)。术后27例患者首次开通率3个月为100%,6个月为91.3,9个月为79.5%,12个月为72.6,15个月为62.2;术后AVF首次通畅率的单因素Cox风险模型分析显示:年龄、糖尿病、瘘管类型、狭窄部位、狭窄长度、瘘管使用时
3、间、透析时间等临床因素对总生存无明显影响(P>0.05o结论:PTA是治疗AVF狭窄的有效方法,其操作简单、创伤小,近期效果明显。[关键词]动静脉内瘘;透析通路;经皮腔内血管成形术;血液透析[中图分类号]R635[文献标志码]ADOh10.3969d.issn.2095.9400.2015.06.008Theclinicalapplicationofpercutaneoustransluminalballoonangioplastyforhemodialysispatientswithstenosisofarterio
4、venousfistulaZHENGChenfei.SUNWenxue1.JIAxiufen2.MIA0Kekai3,PANHuijun3,LIUYiiHUANGChaoxing1.1..DepartmentofNephrology,theFirstAfiliatedHospitalofWenzhouMedicalUniversity,Wenzhou.325015,"2.DepartmentofRadiology,theFirstAfiliatedHospitalofWenzhouMedicalUni—versiWen
5、zhou,325015;3.DepartmentofInterventionalRadiology,theFirstAfiliatedHospitalofWenzhouMedicalUniversity,Wenzhou,325015Objective:Toreportthetechnicalsuccessandlong-termclinicaloutcomesofarteriovenousfistula(AVF)stenosisafterpercutaneoustransluminalballoonangioplast
6、y(PTA).Methods:Atotalof30patientswithstenosisofAVFwereenrolled.Therewere16menand14women,andthemedianagewas64.8M3.2years.Meantimebetweenfistulacreationandinterventionwas16.5~13.8months.Themeandurationofhemodialysistimewas31.5~30.2months.Theywereexaminedbydigitals
7、ubtractionangiography(DSA)whentheyunder-wentPTA.AfterthetreatmentofPTA,allofthepatientswereexaminedby64-multislicespiralcomputedtomog—raphyangiographyevery3months.Results:Thetechnicalsuccessratewas90.0%inthehemodialysispatients(17nativeAVFsand10arteriovenousgrat
8、is).Primarypatencyatfirst,second,third,fourthandfifththreemonthswas100%,91_3%,79.5%,72.6%and62.2%respectively~Univariateanalysisindicatedthattherewasnosignifi—cantcor
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