| 朱珏,许建国,谢胜,陈涛,吴倩,史兰英.超声引导下经皮球囊扩张术在尿毒症患者动静脉内瘘狭窄治疗中的应用.[J].中南医学科学杂志.,2020,(3):284-287. |
| 超声引导下经皮球囊扩张术在尿毒症患者动静脉内瘘狭窄治疗中的应用 |
| Application of ultrasound-guided percutaneous transluminal angiography in the treatment of arteriovenous fistula stenosis in uremic patients |
| 投稿时间：2019-11-18 修订日期：2020-01-07 |
| DOI：10.15972/j.cnki.43-1509/r.2020.03.015 |
| 中文关键词: 超声引导下经皮球囊扩张术 动静脉内瘘狭窄 临床疗效 安全性 |
| 英文关键词:ultrasound-guided percutaneous balloon dilatation arteriovenous fistula stenosis clinical efficacy safety |
| 基金项目: |
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| 中文摘要: |
| 探讨超声引导下经皮球囊扩张术(PTA)在尿毒症患者动静脉内瘘(AVF)狭窄治疗中的应用,选本院肾内科接受超声引导下PTA治疗的AVF狭窄患者30例作为观察组,选取同期在本院肾内科接受外科手术治疗的AVF狭窄患者40例作为对照组；观察两组临床效果；对比两组术后狭窄处内径、透析血流量和内瘘自然流量；统计术后3个月内的并发症和再狭窄发生情况。结果显示,与术前相比,术后两组术后疗效显著提高。AVF狭窄处血管内径、透析血流量、内瘘自然流量均较术前均显著增加,且观察组各指标显著优于对照组；术后3个月内,观察组并发症发生率和内瘘再狭窄率均显著低于对照组。结果说明,超声引导下PTA治疗AVF狭窄比外科手术治疗的并发症和再狭窄率少,安全有效。 |
| 英文摘要: |
| To explore the applying of undergoing ultrasound-guided percutaneous transluminal angiography (PTA) in the treatment of arteriovenous fistula(AVF), 30 patients with AVF stenosis who underwent ultrasound-guided PTA in our hospital were enrolled as the observation group, 40 patients with AVF stenosis who underwent treatment by surgical operation as the control group. The clinical effects, the internal diameter of the stenosis, dialysis blood flow and internal sputum flow were compared. The results showed, compared to operation before, after operation, the clinical effects were significant improved, and the vascular diameter, dialysis blood flow, and internal sputum flow rate of AVF stenosis were significantly increased, which was super in observation group. Compared to the control, the rates of complication and stenosis were significantly lower within 3 months after operation. In conclusion, ultrasound-guided PTA is safe and effective in the treatment of AVF stenosis than that of surgical operation. |
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