介入放射学杂志
介入放射學雜誌
개입방사학잡지
JOURNAL OF INTERVENTIONAL RADIOLOGY
2010年
2期
130-131
,共2页
上肢%动静脉内瘘%介入治疗%狭窄%闭塞%肾衰竭
上肢%動靜脈內瘺%介入治療%狹窄%閉塞%腎衰竭
상지%동정맥내루%개입치료%협착%폐새%신쇠갈
upper extremity%arteriovenous fistula%interventional therapy%stenosis%occlusion%renal failure
目的 探讨经皮球囊导管血管成形术治疗上肢动静脉内瘘狭窄和闭塞的疗效.方法 14例上肢动静脉内瘘狭窄和闭塞的患者,对比术前和术后的临床表现、彩色多普勒超声、血透时血流量的改变及血管造影改变.结果 所有病例经球囊扩张后,狭窄段明显扩张,闭塞处再通,经造影证实狭窄小于30%.结论 球囊成形术是治疗动静脉内瘘狭窄和闭塞的有效方法,其操作简单、创伤小、安全、近期效果明显.
目的 探討經皮毬囊導管血管成形術治療上肢動靜脈內瘺狹窄和閉塞的療效.方法 14例上肢動靜脈內瘺狹窄和閉塞的患者,對比術前和術後的臨床錶現、綵色多普勒超聲、血透時血流量的改變及血管造影改變.結果 所有病例經毬囊擴張後,狹窄段明顯擴張,閉塞處再通,經造影證實狹窄小于30%.結論 毬囊成形術是治療動靜脈內瘺狹窄和閉塞的有效方法,其操作簡單、創傷小、安全、近期效果明顯.
목적 탐토경피구낭도관혈관성형술치료상지동정맥내루협착화폐새적료효.방법 14례상지동정맥내루협착화폐새적환자,대비술전화술후적림상표현、채색다보륵초성、혈투시혈류량적개변급혈관조영개변.결과 소유병례경구낭확장후,협착단명현확장,폐새처재통,경조영증실협착소우30%.결론 구낭성형술시치료동정맥내루협착화폐새적유효방법,기조작간단、창상소、안전、근기효과명현.
Objective To investigate the clinical effect of percutaneous balloon angioplasty for the treatment of arteriovenous fistula stenosis or occlusion in upper extremity in hemodialysis patients. Methods Percutaneous balloon angioplasty was performed in 14 hemodialysis patients with arteriovenous fistula stenosis or occlusion in upper extremity. The preoperative and post operative clinical manifestations, the color Doppler ultrasonographic findings, the blood flow during hemodialysis and the angiographic demonstrations were recorded and compared. Results After balloon dilatation, the constricted segment was remarkably dilated and the occluded site was re-opened in all patients. Angiographic findings showed that the degree of stenosis was less than 30%. Conclusion As a simple, mini-mvasive and safe technique with remarkable short-term effectiveness, percutaneous balloon angioplasty is an valuable therapy for arteriovenous fistula stenosis or occlusion in upper extremity in hemodialysis patients.
