摘要
目的探讨彩超引导下动静脉内瘘狭窄PTA治疗方法及效果。方法选取自2017年1月至2018年1月在本院接受血液透析治疗后出现动静脉内瘘狭窄的40例患者作为研究对象,患者均于彩超引导下行经皮腔内血管成形术(PTA)治疗,观察术前、后狭窄改善情况及并发症发生情况。结果手术成功率为92.5%;与术前比较,术后狭窄处内径、狭窄处峰值流速以及透析血流量均明显增加(P<0.05);术后未见并发症,6个月随访期1例出现动静脉内瘘再狭窄,复发率为2.5%。结论彩超引导下行PTA手术治疗动静脉内瘘狭窄成功率高,可有效解除狭窄,实现血管再通,具有显著的应用价值。
Objective To investigate the therapeutic effect of PTA for arteriovenous fistula stenosis guided by color Doppler ultrasound. Methods From January 2017 to January 2018, 40 patients with arteriovenous fistula stenosis after hemodialysis in our hospital were selected as study subjects. All patients were treated with percutaneous transluminal angioplasty (PTA) under the guidance of color Doppler ultrasound. Improvement of posterior stenosis and occurrence of complications. Results The successful rate of operation was 92.5%. The diameter of stenosis, natural flow of internal fistula and hemodialysis blood flow increased significantly after operation (P<0.05), and there was no complication after operation, and one case developed arteriovenous fistula during the follow-up period of 6 months after operation (P<0.05). The recurrence rate was 2.5%. Conclusion PTA operation under the guidance of color Doppler ultrasound has a high success rate in the treatment of arteriovenous fistula stenosis, which can effectively relieve stenosis and achieve vascular recanalization.
作者
王聪
冯波
冯志
Wang Cong;Feng Bo;Feng Zhi(First Department of General Surgery,Jiangxi Provincial Hospital of Integrated Traditional Chinese andWestern Medicine,Nanchang,Jiangxi,330003,China)
出处
《当代医学》
2019年第10期113-114,共2页
Contemporary Medicine
关键词
彩超
动静脉内瘘狭窄
PTA
Color Doppler ultrasound
Arteriovenous fistula stenosis
PTA
