CAJ | 학술논문

目的：观察经静脉入路球囊扩张成型术治疗血液透析用动静脉瘘管腔狭窄的可行性和有效性。方法回顾性分析2012年1月至2014年1月我院患者资料，总结10例经静脉途径穿刺球囊扩张治疗上肢动静脉瘘狭窄的手术经验。结果10例手术病例中9例获得成功，成功率90%；成功病例3个月通畅率达77.8%。手术后均未出现任何并发症，动静脉瘘于术后0~3 d即可使用。结论直接经静脉途径的球囊扩张治疗自体动静脉瘘功能不良简单有效，可以避免动脉途径可能造成的术中、并发症。
목적：관찰경정맥입로구낭확장성형술치료혈액투석용동정맥루관강협착적가행성화유효성。방법회고성분석2012년1월지2014년1월아원환자자료，총결10례경정맥도경천자구낭확장치료상지동정맥루협착적수술경험。결과10례수술병례중9례획득성공，성공솔90%；성공병례3개월통창솔체77.8%。수술후균미출현임하병발증，동정맥루우술후0~3 d즉가사용。결론직접경정맥도경적구낭확장치료자체동정맥루공능불량간단유효，가이피면동맥도경가능조성적술중、병발증。
Objective To investigate the feasibility and effectiveness of transvenous percutaneous transluminal angioplas on autogenous ateriovenous ifstula malfunction in hemodialysis patient.Method A retrospective study was conducted in patients whose arteriovenous ifstulas were salvaged by transvenous PTA in our hospital from January 2012 to January 2014.Result Nine surgical cases succeeded in ten patients, the successrate was 90%; the patency rate in 3 monthes was 77.8%. For every successful case arteriovenous ifstula can be used in 0-3 days after surgery, and they did not have any complications after surgery.Conclusion Transvenous percutaneous transluminal angioplas is a simple and effective method, which can avoided many complications.