国际移植与血液净化杂志
國際移植與血液淨化雜誌
국제이식여혈액정화잡지
INTERNATIONAL JOURNAL OF TRANSPLANTATION AND HEMOPURIFICATION
2015年
2期
26-28
,共3页
球囊导管%动静脉内瘘%临床探索
毬囊導管%動靜脈內瘺%臨床探索
구낭도관%동정맥내루%림상탐색
Bballoon catheter%Arteriovenous fistula%Clinical research
目的 探讨球囊导管扩张在血管条件较差的患者建立动静脉内瘘中的应用价值.方法 总结分析我院2010年1月至2013年12月的59例血管较细的患者,分为常规手术方式组及经球囊导管扩张后行动静脉内瘘术患者组.分别对他们的手术成功率、术前术后血管内径、使用1年时间失功率进行对比分析.结果 球囊导管组手术成功率为95.5％,常规手术组则为81.6％;球囊导管组血管改善程度优于常规手术组,且有统计学意义;随访1年,球囊导管组内瘘闭塞或者狭窄率明显低于常规手术组.结论 对于血管条件较差的慢性肾功能衰竭患者在行自体动静脉内瘘成形术时,使用球囊导管扩张方法能够建立良好的血管通路,提高患者动静脉内瘘手术成功率及动静脉内瘘血管的使用率.
目的 探討毬囊導管擴張在血管條件較差的患者建立動靜脈內瘺中的應用價值.方法 總結分析我院2010年1月至2013年12月的59例血管較細的患者,分為常規手術方式組及經毬囊導管擴張後行動靜脈內瘺術患者組.分彆對他們的手術成功率、術前術後血管內徑、使用1年時間失功率進行對比分析.結果 毬囊導管組手術成功率為95.5％,常規手術組則為81.6％;毬囊導管組血管改善程度優于常規手術組,且有統計學意義;隨訪1年,毬囊導管組內瘺閉塞或者狹窄率明顯低于常規手術組.結論 對于血管條件較差的慢性腎功能衰竭患者在行自體動靜脈內瘺成形術時,使用毬囊導管擴張方法能夠建立良好的血管通路,提高患者動靜脈內瘺手術成功率及動靜脈內瘺血管的使用率.
목적 탐토구낭도관확장재혈관조건교차적환자건립동정맥내루중적응용개치.방법 총결분석아원2010년1월지2013년12월적59례혈관교세적환자,분위상규수술방식조급경구낭도관확장후행동정맥내루술환자조.분별대타문적수술성공솔、술전술후혈관내경、사용1년시간실공솔진행대비분석.결과 구낭도관조수술성공솔위95.5％,상규수술조칙위81.6％;구낭도관조혈관개선정도우우상규수술조,차유통계학의의;수방1년,구낭도관조내루폐새혹자협착솔명현저우상규수술조.결론 대우혈관조건교차적만성신공능쇠갈환자재행자체동정맥내루성형술시,사용구낭도관확장방법능구건립량호적혈관통로,제고환자동정맥내루수술성공솔급동정맥내루혈관적사용솔.
Objective To investigate the application value of balloon dilatation in patients establishing arteriovenous fistula with poor vessel condition.Methods A total of 59 cases in our hospital from 2010 January to 2013 December with thin vessel were analysised,divided into conventional operation group and balloon catheter dilatation group.Respectively,analysis comparatively for their success rate of operation,preoperative and postoperative blood vessel diameter,the rate of losing power in one year.Results The success rate of operation for the balloon catheter dilation group was 95.5％,the conventional surgery group was 81.6％.The degree of vessels improvement of balloon catheter dilatation was better than conventional surgery group,with a statistical significance;Followed up for one year,the fistula occlusion/stenosis rate in balloon catheter dilation group was lower than that in conventional operation group,significantly.Conclusion For the poor vascular condition in chronic renal failure patients tmdergoing autologous arteriovenous fistula,using balloon catheter dilatation method can establish good vascular access,improve success rate of arteriovenous fistula operation and use rate of intravenous fistula.
